Technician, Claims

Spectraforce Technologies
United States, South Carolina, Florence
Oct 01, 2025
Performs routine but varied clerical duties in accordance with standard procedures. This includes clerical duties such as photocopying, compiling records, filing, tabulating, posting information, distributing mail, screening, scanning, data element verification and document indexing. Applies knowledge of department policies and procedures and utilizes a general understanding of other departments' functions. Maintains records, prepares forms, verifies information and resolves routine problems. Ensures claims are processed in a timely manner.30% Receives, opens, sorts and distributes incoming departmental mail or work requests. Checks workflow documents to ensure required information is available. Requests any missing documentation as needed. Scans all documents for storage in the electronic repository. Prepares correspondence or packages for internal/external mailing.30% Screens and verifies information. Ensures proper and accurate processing flow of all paper claims and correspondence in accordance with department standards for quality and production, contract regulations, policies and guidelines.30% Conducts data element verification of data elements for those that fail the mapping process prior to claims adjudication. Applies appropriate indexes as needed to claims and/or correspondence.5% Maintains departmental logs, spreadsheets or databases. Effectively uses all available reference materials in performance of daily functions.5% Keeps track of supply inventory and/or orders supplies as needed., Education: Minimum Education: High School Diploma or EquivalentMinimum Work Experience: No previous work experience required