Job Description:Essential Job Functions:Conducts correspondence related to client requests for informationEvaluates available information to validate claimsVerifies contract information, effective dates, status and verification of claim eligibilityIdentifies need for additional informationContacts appropriate source to obtain needed informationVerifies beneficiary or claimant information if claim is warrantedIdentifies payment amount and obtains required management approvals for paymentProcesses paymentInvestigates moderate to highly complex claims and determines level or resolution if appropriate; advises claimant of status; assists in negotiating settlement and resolution of claimReceives demand letters; researches and investigates claims, responds within individual parameters and escalates as appropriateMandatory Qualifications:High school diploma or G.E.D.3+ years of insurance/claims processing experienceExperience working with insurance and/or medical terminologyExperience working with financial software packagesExperience working with appropriate claims processing procedures and documentationExperience with Microsoft Office SuiteGood interpersonal skills to interact with team membersPosition requires great communication skills to communicate with clientsPosition requires negotiation skills to interact with claimantGood analytical and problem solving skillsAbility to keep sensitive and confidential material privateAbility to work in a team environmentOther Qualifications:Fellowship of Life Health Claims (FLHC) Certification is preferredPowerBi knowledge is desiredWork Environment:Home office, remote workRemote only within USApplicants for employment in the US must have work authorization that does not now or in the future require sponsorship of a visa for employment authorization in the United StatesCompensation at DXC is influenced by an array of factors, including but not limited to the experience, job-related knowledge, skills, competencies, as well as contract-specific affordability and organizational requirements. A reasonable estimate of the current compensation range for this position is $35,000 - $65,000.Full-time hires are eligible to participate in the DXC benefit program. DXC offers a comprehensive, flexible, and competitive benefits program which includes, but is not limited to, health, dental, and vision insurance coverage; employee wellness; life and disability insurance; a retirement savings plan, paid holidays, paid time off.If you are an applicant from the United States, Guam, or Puerto RicoDXC Technology is an Equal Opportunity/Affirmative Action employer . All qualified candidates will receive consideration for employment without regard to disability, protected veteran status, race, color, religious creed, national origin, citizenship, marital status, sex, sexual orientation/gender identity, age or genetic information. DXC's commitment to diversity and inclusive selection practices includes ensuring qualified long-term unemployed job seekers receive equal consideration for employment. View postings below.We participate in E-Verify. In addition to the posters already identified, DXC provides access to prospective employees for the Federal Minimum Wage Poster, Federal Polygraph Protection Act Poster as well as any state or locality specific applicant posters. To access the postings in the link below, select your state to view all applicable federal, state and locality postings. Postings are available in English, and in Spanish, where required. View postings below.Postings link ( AccommodationsIf you are an individual with a disability, a disabled veteran, or a wounded warrior and you are unable or limited in your ability to access or use this site as a result of your disability, you may request a reasonable accommodation by contacting us via email ( ) .Please note: DXC will respond only to requests for accommodations due to a disability.Recruitment fraud is a scheme in which fictitious job opportunities are offered to job seekers typically through online services, such as false websites, or through unsolicited emails claiming to be from the company. These emails may request recipients to provide personal information or to make payments as part of their illegitimate recruiting process. DXC does not make offers of employment via social media networks and DXC never asks for any money or payments from applicants at any point in the recruitment process, nor ask a job seeker to purchase IT or other equipment on our behalf. More information on employment scams is available here .