Department	Benefits
Category	Benefits
City	Oklahoma City
State	OK
Travel Involved	0-10%
Type of Position	Full-Time

Rep, Benefit Adjuster I DI (5)

AFA / CERS

Description:

*Compensation range ($36,680.89-$56,963.26/year) plus may be eligible for an annual discretionary company bonus. Actual compensation within that range will be dependent upon the individual's skills, experience and qualifications. For more information on our organization and company benefits, please visit our career site at Careers | American Fidelity.

*Evaluates and processes claims that require routine judgement and investigation such as Diagnostic Testing, Wellness, Physician Expense, URM, GAP, Medlink, Dental, Triage/Incomplete or Pregnancy claims in accordance with Company policy terms, insurance laws, regulatory requirements and adjusting guidelines.

*Provides appropriate verbal and/or written communication to internal and external Customers in a positive and knowledgeable manner to ensure a high standard of Customer service. Meets standards established in department performance metrics for appropriate handling of Customer phone calls.

*Acts as a direct contact and communicates with Customers and medical providers in a positive, knowledgeable and professional manner, providing them with direction and assistance in all facets of insurance coverage and needs.

Requirements:

Hybrid schedule (following completion of position training)
Multiple open positions
Prompt and reliable
Good medical terminology preferred
Possesses General PC Windows-based software knowledge with the ability to learn new applications and work in a paperless environment
Good understanding of anatomy and physiology
Good contract knowledge
Familiarity with CPT and ICD10 coding
Possesses good analytical skills and judgment
Ability to be flexible in work schedule, including a willingness to work overtime as needed
Good oral and written communication skills
Ability to handle fast-paced environment
Professional attitude
Dedicated to providing world-class Customer service
Ability to work well within a team environment

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