Associate - Claims

About Capgemini

With more than
180,000 people in over 40 countries, Capgemini is a global leader in
consulting, technology and outsourcing services. The Group reported 2015 global
revenues of EUR 11.9 billion. Together with its clients, Capgemini creates and
delivers business, technology and digital solutions that fit their needs,
enabling them to achieve innovation and competitiveness. A deeply multicultural
organization, Capgemini has developed its own way of working, the Collaborative
Business Experience™, and draws on Rightshore®, its worldwide delivery model.

Learn more about us atwww.capgemini.com.

Rightshore® is a
trademark belonging to Capgemini.

Capgemini is an
Equal Opportunity Employer encouraging diversity in the workplace. All
qualified applicants will receive consideration for employment without regard
to race, national origin, gender identity/expression, age, religion,
disability, sexual orientation, genetics, veteran status, marital status or any
other characteristic protected by law.

This is a general
description of the Duties, Responsibilities and Qualifications required for
this position. Physical, mental, sensory or environmental demands may be
referenced in an attempt to communicate the manner in which this position
traditionally is performed. Whenever necessary to provide individuals with
disabilities an equal employment opportunity, Capgemini will consider
reasonable accommodations that might involve varying job requirements and/or
changing the way this job is performed, provided that such accommodations do
not pose an undue hardship.

Click the following
link for more information on your rights as an Applicant:http://www.capgemini.com/resources/equal-employment-opportunity-is-the-law

Location: Pensacola, FL

JD:

CHCS
Services

Job
Description

Job
Title: Intake Coordinator –
Level 2

Department: Claims

Reports
To: Group Leader (Supervisor)

SUMMARY

This
position is responsible for completing Intake Telephonic Interviews at the time
of claim notice. The Intake Coordinator will be responsible for taking inbound
calls and making outbound calls in response to a request for initiating a new
Long Term Care claim.

ESSENTIAL
DUTIES AND RESPONSIBILITIESinclude the following:

Responsible
for initial interaction with Insured / Provider / Family, or Other Stakeholders
to gather information to begin claim process by script with open ended and
reflexive questioning. Responsible
for completing the telephonic interview within all applicable claim systems as
outlined in Standard Operating Procedures. Responsible
for making follow up calls and sending correspondence when there is voicemail
or no answer to the initial outbound call. Ability
to recognize misdirected calls and the knowledge to direct the call
appropriately so the callers inquiry can be best addressedResponsible
for ordering duplicate policies and other required documents. Responsible
for providing provider options via Provider Network look up in the systemOther
clerical duties as needed

SUPERVISORY
RESPONSIBILITIES

This
job has no supervisory responsibilities

QUALIFICATIONS

To
perform this job successfully, an individual must be able to perform each
essential duty effectively.Must
be able to perform repetitious assignmentsBasic
computer knowledgeTyping
35-45 WPM with 90% accuracyExcellent
Verbal Communication SkillsSome
Medical TerminologyCustomer
Service

EDUCATION
and/or EXPERIENCE

High
school diploma; or one year related experience and/or training; or equivalent
combination of education and experience.

LANGUAGE
SKILLS

Must
have ability to read and comprehend simple instructions, short correspondence,
and memos. Must have ability to write
simple correspondence and the ability to effectively present information in
one-on-one and small group situations

COMPETENCIES

Customer
Service; Interpersonal Skills; Integrity/Honesty; Motivation; Oral
Communication; Teamwork

MATHEMATICAL
SKILLS

Ability
to add, subtract, multiply, and divide in all units of measure, using whole
numbers, common fractions, and decimals

REASONING
ABILITY

Ability
to apply common sense understanding to carry out detailed but uninvolved
written or oral instructions. Ability to
deal with problems involving a few concrete variables in standardized
situations

CERTIFICATES,
LICENSES, REGISTRATIONS

Customer
Service, LOMA and/or AHIP certifications preferred

PHYSICAL
DEMANDS

The
physical demands described here are representative of those that must be met by
an employee to successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities
to perform the essential functions.

While
performing the duties of this job, the employee is regularly required to
sit. The employee frequently is required
to use hands to finger, handle, or feel.
The employee is occasionally required to reach with hands and arms and
talk or hear. The employee must
regularly lift and/or move up to 10 pounds.
Specific vision abilities required by this job include close vision, and
ability to adjust focus.

WORK
ENVIRONMENT

The
work environment characteristics described here are representative of those an
employee encounters while performing the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities
to perform the essential functions.

Works
in office environment. The noise level
in the work environment is usually moderate.