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.
Top Skills
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.
