USA Jobs

Job Information

Amalgamated Life Insurance Re-Pricer - Clerk in White Plains, New York

  • Reprice claims for various PPOs using Web Application.

  • Analyze any system generated error(s) and take necessary action to obtain reprice information related to claims.

  • Identify, batch and mail/fax various types of paper claims to PPO vendors.

  • Return claims to production staff after obtaining reprice information using internal Web Base Application.

  • Fax claim form to PPO as requested for priority handling.

  • Monitor PPO turnaround time.

  • Follow up on outstanding claims by making phone calls to PPOs.

  • Update PPO database with claim reprising information.

  • Access PPO website for reprising information on outstanding claims repriced by PPO.

  • Batch, scan and validate reprice sheet.

  • Handle repricing related task from other departments.

  • Handle special repricing projects as assigned by supervisor.

  • Responsible for promptly advising supervisor of any problems regarding repricing of claims.

  • High School Diploma or Equivalence.

  • Excellent data entry skills.

  • Knowledge of claim form/type.

  • Good verbal and written communication skills.

  • Knowledge of Web base application.

  • Ability to work independently.

  • Basic knowledge of claim processing system.

ID: 2019-2413

External Company Name: Amalgamated Life

External Company URL:

Street: 333 Westchester Avenue