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Member Level Processor Intermediate (EDH 24322-1)

El Dorado Hills, California | Contract

Job ID: 55206 Position: Claims Processor Branch: Rancho Cordova

Member Level Processor Intermediate - I&B IFP Enrollment

Responsibilities:
  • Process member level data and information using automated systems within established production and quality standards.
  • Process new member additions, eligibility updates and reports within established production and quality standards.
  • Reviews accuracy of data entered against source documents. Identifies and resolves issues with enrollment information and member eligibility.
  • Successfully exceed Associate level responsibilities.
  • Regularly contacts internal and external customers and business partners to verify or obtain additional information to complete processing work and verify member eligibility/data
  • Uses daily reports to manage eligibility for electronic groups.
  • Makes recommendations to management for improvements in work processes and task documentation
  • May act as mentor to new team members

Education/Requirements:
  • Good writing and math skills Good communications skills (written and verbal)
  • Basic experience in Microsoft Excel, Word and Access Basic understanding of end to end process
  • Requires a high school diploma or GED and 1-2 years related experience and/or training, or equivalent combination of education and experience

Kyle Atalig
Recruiter

Kyle brings a wide variety of experiences and abilities to the Rancho Cordova office. He uses his skills in connecting people and identifying talents to bring together Dream Jobs and Dream Candidates. While Kyle is building a thriving career with Wollborg Michelson, he is continuing his education in Business and Talent Acquisition. In his spare time, he enjoys going on spontaneous hiking adventures.

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