Top 78 Claims specialist Jobs in Cary Nc

Leave of Absence Specialist
UNC Health —Morrisville, NC
- $23.24 - $33.41 an hour
- Full-time
- Hybrid work
- No experience needed
- Mid-level
- High school diploma or GED
- Parental leave
7d
Benefits Specialist, NORAM
bioMérieux —Durham, NC
- $32.20 - $39.10 an hour
- Hybrid work
- 6 years
- Mid-level
- High school diploma or GED
- Commuter assistance
- Disability insurance
Quick Apply
9d
Health Service Specialist
McKesson —Cary, NC
- $17.99 - $29.98 an hour
- Hybrid work
- HIPAA
- Mid-level
- Office
7d
Benefits & Leave Specialist
Easterseals PORT Health —Raleigh, NC
- $68,000 a year
- Full-time
- Hybrid work
- Writing skills
- HIPAA
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
Patient Access Specialist
McKesson —Cary, NC
- $17.99 - $29.98 an hour
- Hybrid work
- Computer literacy
- Mid-level
- Office
- Prescription drug insurance
Billing Specialist - Patient Accounts
Kind Behavioral Health —Raleigh, NC
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Customer service
Quick Apply
Collections Specialist - Back Office - Remote
defi AUTO LLC —Raleigh, NC
- $21 an hour
- Full-time
- Remote
- Mid-level
- Windows
- 3 years
- Paid training
- Tuition reimbursement
Quick Apply
2d
Bodily Injury Claims Specialist
Auto-Owners Insurance Company —Raleigh, NC
- Full-time
- Customer service
- Mid-level
- 3 years
- Paid holidays
- Paid time off
Quick Apply
8d
Social Media/Online Research Specialist
Open Desk —Wake Forest, NC
- $17 an hour
- Full-time
- Customer service
- Research
- Office
- Paid holidays
- Disability insurance
Quick Apply
9d
Renovation Sales Specialist
Forge Construction Group, LLC —Raleigh, NC
- $100,000 - $120,000 a year
- Full-time
- Entry level
- Paid training
- Referral program
Quick Apply
Damage Specialist
Project Resources Group —Raleigh, NC
- $48,000 - $52,000 a year
- Overtime
- Hybrid work
- Ability to walk for extended periods
- Mid-level
- Analysis skills
- Mileage reimbursement
- Paid holidays
Quick Apply
Accounts Receivable Specialist
Oshi Health —Raleigh, NC
- $47,000 - $52,000 a year
- Email
- Remote
- HIPAA
- Research
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
4h
Prior Authorization Specialist
Empowered Arthritis and Rheumatology Center PLLC —Cary, NC
- $23 - $28 an hour
- Full-time
- Private practice
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
13d
Population Health Specialist- AMH+
Duke Health —Durham, NC
- Full-time
- Sales
- Mid-level
- 3 years
Collections Specialist - Deficiency Balance - Remote
defi AUTO LLC —Raleigh, NC
- $21 an hour
- Full-time
- Remote
- Mid-level
- Windows
- High school diploma or GED
- Paid training
- Tuition reimbursement
Quick Apply
Administrative Specialist I
State of North Carolina - Health & Human Services —Wake County, NC
- $39,244 - $68,679 a year
- Full-time
- Microsoft Word
- Microsoft Excel
- High school
- Paid parental leave
- Health insurance
Insurance Support Services Specialist I
MED-EL Corporation —Durham, NC
- Full-time
- Hybrid work
- HIPAA
- High school diploma or GED
- Math
Quick Apply
Service Specialist
Gallagher Benefit Services —Holly Springs, NC
- $19 an hour
- Full-time
- Hybrid work
- 5 years
- HIPAA
- Office
- Paid parental leave
- Health savings account
1d
Staff Development Specialist I
State of North Carolina - Military & Veterans Affairs —Wake County, NC
- $47,703 - $83,479 a year
- Full-time
- Hybrid work
- Mid-level
- Presentation skills
- Bachelor's degree
- Continuing education credits
7d
Medical Claims Recovery Specialist - Hybrid NC
Gainwell Technologies —Raleigh, NC
- $35,500 - $43,500 a year
- Full-time
- Hybrid work
- Microsoft Word
- Microsoft Excel
- Microsoft Access
- Travel reimbursement
- Profit sharing

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Leave of Absence Specialist

UNC Health -
Morrisville, NC

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Job Details

Full-time
$23.24 - $33.41 an hour
7 days ago

Benefits

Parental leave

Qualifications

VLOOKUP function
Computer skills
Excel data analysis

Full Job Description

Description

Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.

Summary:

The Leave of Absence Specialist is responsible for administering and managing all leave programs, including FMLA, short-term disability, long-term disability, parental leave, and other
statutory and company-specific leaves. This role ensures compliance with federal and state regulations, provides exceptional teammate support, and partners with internal and external stakeholders to deliver a seamless leave experience.

The ideal candidate will also bring experience supporting employee benefits administration, recognizing the close partnership between leave management and benefits.

Responsibilities:
Leave Administration: Administer and manage leave of absence programs in compliance with applicable laws and company policies. Process leave requests, track eligibility, and maintain accurate documentation. Coordinate with third-party administrators and insurance providers to ensure timely and accurate handling of claims.
Initial Point of Contact: Act as the initial point of contact for Leave of Absence inquiries and provide in-depth information and services across the various stage of Leave of Absence process. First level for immediate support for callers in the Leave of Absence Phone queue, ensuring minimal wait times and efficient call resolution. Provide clear communication and guidance throughout the leave process, ensuring a positive teammate experience.
ServiceNow Case Management: Responds to leave inquiries from teammates and leaders on leave eligibility, benefit plan eligibility, timesheets, and other general leave inquiries. Research and resolve operational leave cases promptly to support teammates.
Collaboration and Communication: Collaborate closely with HR team members to resolve leave inquiries and provide comprehensive solutions to teammates. Provide guidance to HR Service Delivery Advisors and Benefit Specialists on leave processes and compliance requirements. Share best practices and offer feedback to improve team effectiveness.
Data Management and Reporting: Prepare and work leave reports to ensure timely resolution of outstanding items and maintain data accuracy. Generate reports and review leave data to identify trends and opportunities for improvement.
Exceptional Customer Service: Deliver professional, reliable, and exceptional teammate support to all inquiries, exhibiting a customer-centric approach and ensuring high satisfaction levels. Address inquiries promptly and effectively, demonstrating active listening and empathy.
Process Improvement Evaluation: Identify areas for process improvement within leave administration. Collaborate with peers and management to implement changes that enhance efficiency and teammate experience.
Project Management: Actively participates in projects designed to increase efficiency and promote teammate experience.
Training Material Development: Develop training modules, SOP’s, guides, and reference materials that cover Leave processes, policies, and customer service techniques.
Open Enrollment: Assist and support Open Enrollment annually.
Confidentiality and Data Security: Handle sensitive teammate information with the utmost confidentiality and adhere to data security protocols. Ensure compliance with data protection regulations and company policies.

Other Information

Other information:
Education Requirements:

Bachelor's degree or equivalency as outlined under experience.

Licensure/Certification Requirements:

None required.

Professional Experience Requirements:

If a Bachelor’s degree: No prior experience required.
If an Associate’s degree: two (2) years of relevant experience.
If a High School diploma or GED: Six (6) years of relevant experience.

Knowledge/Skills/and Abilities Requirements:

Excellent organizational skills, strong attention to details, and process oriented.
Excellent communication and interpersonal skills.
Proficient with excel and possess the capabilities of being able to complete V-Lookups to obtain data when needed.
Demonstrated ability to maintain a confidential work environment, including handling issues with discretion, and good judgement.
Ability to manage workload and achieve results with minimal supervision.

Job Details

Legal Employer: NCHEALTH

Entity: Shared Services

Organization Unit: HR Customer Service Center

Work Type: Full Time

Standard Hours Per Week: 40.00

Salary Range: $23.24 - $33.41 per hour (Hiring Range)

Pay offers are determined by experience and internal equity

Work Assignment Type: Hybrid

Work Schedule: Day Job

Location of Job: US:NC:Morrisville

Exempt From Overtime: Exempt: No

This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.

Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.

UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email [email protected] if you need a reasonable accommodation to search and/or to apply for a career opportunity.

Apply Now

Refine Your Search

claims specialist jobs in cary nc

Leave of Absence Specialist

Benefits Specialist, NORAM

Health Service Specialist

Benefits & Leave Specialist

Patient Access Specialist

Billing Specialist - Patient Accounts

Collections Specialist - Back Office - Remote

Bodily Injury Claims Specialist

Social Media/Online Research Specialist

Renovation Sales Specialist

Damage Specialist

Accounts Receivable Specialist

Prior Authorization Specialist

Population Health Specialist- AMH+

Collections Specialist - Deficiency Balance - Remote

Administrative Specialist I

Insurance Support Services Specialist I

Service Specialist

Staff Development Specialist I

Medical Claims Recovery Specialist - Hybrid NC

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