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Pearl Interactive Network, Inc. is a fast growing, multi-channel contact center solutions company. In addition to performing a social mission of creating jobs for veterans, disabled veterans, people with disabilities, military spouses and people living in geographically challenged areas, we provide exceptional service to all job-seekers.  We believe that it is our duty to be an asset to our customers, to each other and to the community. We are honored that you have decided to pursue an employment opportunities with us.

As an equal employment opportunity employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.

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Claims Technician - Remote

Location: Columbia, MD

The Claims Technician is responsible for processing reimbursement payments for the Ticket to Work Program. The Claims Technician will provide instructions about payments and distribution. The Claims Technician will provide information with professionalism, precision, and an appropriate sense of urgency. In addition, the Claims Technician will work closely with the Sr. Payment Specialist to ensure all deliverables are accomplished.  Must reside in the Columbia, MD area.

Job Duties:

  • Respond to reimbursement Payment Inquiries regarding the status of payments, clarification of policy, and assist in processing payments for beneficiaries.
  • Evaluate and Review all request reimbursement and cost to ensure compensation is made in a timely, accurate, and efficient manner.
  • Coordinate any discrepancies or corrective action plans prior to making payments.
  • Coordinate in creating automated payment utilizing their iTOPSS system.
  • Adhere to Performance Requirements.
  • Provide updates ensuring compliance with timeline expectations.
  • Making the caller aware of other services and actions that may lead to greater success.
  • Keeping up on trends, changes, and competitor actions that might affect payments.
  • Prepare reports by collecting, analyzing, and summarizing information.
  • Maintain quality service by establishing and enforcing organization standards.
  • Maintain professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; benchmarking state-of-the-art practices; participating in professional societies.

Classification: Full-Time, Non-Exempt
Operating Hours: May vary depending on the project
Location: Columbia, MD (Remote with an onsite option in 2022)
Rate: $18.92 + Benefits

Internet Connectivity:

  • Wired internet connection
  • Download 20 Mbps minimum
  • Upload 5 Mbps minimum

Please note the bandwidth requirements are minimum for remote work-from-home agents, to support agent project workflow.

For shared home access, additional bandwidth is needed where multiple family members are sharing household bandwidth with Streaming video/Remote learning, etc.

Requirements:

  • High School diploma, BS, or BA preferred
  • Passion to help others
  • Strong and effective communication skills
  • Outstanding writing and editing skills
  • Effectively present information and respond to questions
  • Excellent organization skills
  • Work well independently
  • Ability to work in a fast-paced environment independently and meet aggressive deadlines
  • Embrace our winning Pearl Culture which promotes our employee's desires and efforts to serve our consumers, coworkers, clients, and community by exhibiting our Pearl values of customer satisfaction, teamwork, & family atmosphere, quality, respect, transparency, and innovation

The above statements are intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. Pearl management reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.

Background Investigation or DoD Clearance, Suitability and Skills Assessments Required

Skills/Qualifications/Keywords: Action Oriented/Tenacity, Dealing with Ambiguity, Compassion, Customer Focus, Ethics and Values, Functional and Technical Skills, Informing, Integrity and Trust, Listening, Priority Setting, Problem Solving, MS Outlook, and Office Skills, Leadership Team, People Skills, Diversity, Professionalism, Organization, Team Oriented, Learning, Flexibility, Effective Communication.

Pearl offers a full benefits package that includes medical, dental, vision, life insurance, paid time off, paid holidays, and a 401K. Additional ancillary benefits will also be available.

Pearl Interactive Network, Inc. is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, veteran status, disability status, genetics, or sexual orientation, and gender identity.

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