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Claims Review Representative

Company: Express Employment Professionals - Headquarters
Location: Newark
Posted on: January 11, 2022

Job Description:

We are in search of attentive and energetic individuals to begin their careers with the State of Delaware. Currently in need of several Claim Review Representatives to work in Newark, Delaware.

Essential functions include, but are not limited to the following skill sets:

Reviews and issues claim determinations on complex cases such as those involving legal matters or disputes
Reviews claims against program eligibility requirements
Collects information from claimants and all parties involved to make an informed determination
Explains determinations to claimants and all parties citing state and federal regulations
Assists office personnel in determining the eligibility of claims in less clearly defined cases by consulting appropriate guidelines
Assists Office Manager by delegating work to other office staff, monitoring workloads, taking daily attendance, providing information to office staff when necessary, and filling in as acting Office Manager when necessary

Job Requirements:
Knowledge, Skills, and Abilities desired:

Knowledge of federal and state unemployment rules, regulations, and case precedents involved with claims eligibility determination
Skilled in interviewing to obtain sensitive and complete information
Detailed orientated in compiling data and required documentation
Must be able to exercise good judgment and diplomacy in sensitive situations
Have a diverse personality to work with a variety of individuals

Job Requirements:

Minimum of 6 months experience in claims processing and case management
Minimum of 6 months previous knowledge in making recommendations as part of a client's service plan and treatment.
Previous experience in interpreting laws, rules, regulations, standard procedures and policies

If you are interested and feel you meet the above qualifications, please forward your resume today for immediate review and consideration.

Keywords: Express Employment Professionals - Headquarters, Newark , Claims Review Representative, Other , Newark, Delaware

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