Claims Specialist

Posted 3 Hours Ago
Be an Early Applicant
Hiring Remotely in US
Remote
17-23 Hourly
Entry level
Fintech • Payments
The Role
Review and process employer benefit claims (including FSA) according to IRS and plan rules. Determine eligibility, process appeals, meet turnaround times, troubleshoot software, coordinate with other departments, support supervisors on projects, and develop/improve processes and procedures.
Summary Generated by Built In

The Claims Specialist is responsible for properly reviewing and processing claims for various Employer benefit plans according to IRS regulations and specific employer plan rules. A Claims Specialist should be prepared to work in a detail oriented and fast paced environment with a high level of accuracy.

Essential Duties:

  • Daily claim processing.

  • Accurately process all FSA claim types.

  • Determine eligibility by utilizing available resources.

  • Ensure priority of workload is followed and turnaround times are met.

  • Properly process claim appeals.

  • Troubleshoot software issues accordingly.

  • Assist with other operational functions.

  • Coordinate with other departments when appropriate.

  • Assist Claims Supervisors with projects as assigned.

  • Work with Claims Supervisors to develop new processes and procedures.

  • Continuous improvement approach to work.

  • Communicate changes needed for processes.

  • Develop and update procedures as needed.

  • Promote continuous learning and sharing of knowledge.

The base pay range represents the anticipated low and high end of the pay range for this position. Actual pay rates will vary and will be based on various factors, such as your qualifications, skills, competencies, and proficiency for the role. Base pay is one component of WEX's total compensation package. Most sales positions are eligible for commission under the terms of an applicable plan. Non-sales roles are typically eligible for a quarterly or annual bonus based on their role and applicable plan. WEX's comprehensive and market competitive benefits are designed to support your personal and professional well-being. Benefits include health, dental and vision insurances, retirement savings plan, paid time off, health savings account, flexible spending accounts, life insurance, disability insurance, tuition reimbursement, and more. For more information, check out the "About Us" section.Pay Range: $17.00 - $22.50

Skills Required

  • Experience reviewing and processing claims for employer benefit plans according to IRS regulations and plan rules
  • Ability to accurately process all FSA claim types
  • Detail oriented with a high level of accuracy and ability to work in a fast-paced environment
  • Ability to determine eligibility using available resources
  • Experience processing claim appeals
  • Ability to troubleshoot software issues related to claims processing
  • Ability to coordinate with other departments and assist claims supervisors on projects
  • Commitment to continuous improvement and developing/updating procedures

WEX Inc. Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about WEX Inc. and has not been reviewed or approved by WEX Inc..

  • Leave & Time Off Breadth Leave offerings are portrayed as a standout, with generous PTO and additional paid time for volunteering. Time-off flexibility is also positioned as a meaningful part of the overall rewards experience.
  • Retirement Support Retirement benefits are presented as strong, including a 401(k) match that is described as competitive. This element appears to materially strengthen the total rewards package even when cash compensation feels less compelling.
  • Strong & Reliable Incentives Variable compensation is sometimes framed positively through bonuses and uncapped earning potential in sales-oriented roles. Stock options are also cited as an additional reward component that can improve perceived total compensation.

WEX Inc. Insights

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The Company
HQ: Portland, ME
4,900 Employees
Year Founded: 1983

What We Do

We simplify complex payment systems for fleets, corporate payments, and healthcare—unlocking insights, opportunities, and efficiencies to give you greater control of your business. Powered by the belief that complex payment systems can be made simple, WEX (NYSE: WEX) is a leading financial technology service provider across a wide spectrum of sectors, including fleet, travel and healthcare. WEX operates in more than 10 countries and in more than 20 currencies through approximately 4,900 associates around the world. WEX fleet cards offer approximately 14 million vehicles exceptional payment security and control; our travel and corporate solutions business processes over $35 billion of purchase volume annually; and the WEX Health financial technology platform helps 343,000 employers and more than 28 million consumers better manage healthcare expenses.

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