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Open Position

Claims Specialist I

Claims Department in Life & Health Division

As of April 9, 2024

Responsibilities which include but not limited to:
  • Conduct computer entries of confidential medical, dental, vision & pharmacy claims of members

  • Process deductibles, on-island and CNMI hospital claims, editor claims, reimbursements and reconciliations

  • Create and generate letters for members and providers

  • Attend and participate in provider meetings

  • Responsible for fax back maintenance

  • Transmit claims over $10,000 and perform small claims audit

  • Manage Third Party/Subrogation processing for on island and CNMI hospital claims

  • Provide guidance to the Philippine Support Group in handling claims

  • Conduct department training to less experienced staff members

  • Serve as a backup in customer service

  • Any other job related duties as assigned by supervisor

Position Requirements

  • High school diploma or equivalent required

  • A minimum of two years experience in insurance claims processing preferred

  • Prior experience in using claims processing software, i.e. WLT, is preferred

  • Experience with Microsoft Office (ex: Outlook Express, Microsoft Word/Excel)

  • Experience with operating Xerox machine (ex: Copy, Fax and Scan)

  • Must have excellent communication skills in verbal and written form

  • Able to handle multiple assignments under high pressure

  • Able to work independently and exercise good judgment

  • Highly organized and dedicated with a positive attitude

  • Team Player

How to Apply

1.) Complete the CIU Application For Employment form.  Download Here

2.) Complete the Self-Identification form. Download Here

3.) In addition to emailing your resume and both, CIU Application for Employment and Self-Identification Forms to jobs@calvos.com, you may submit the documents to CIU Corporate Office, Attn: HR Department

 

Mail to:  P.O. Box CI, Hagatna, GU 96932

Drop-off location address: 115 Chalan Santo Papa, Hagatna, GU 96910

Calvo’s Insurance Underwriters, Inc. is an Affirmative Action and Equal Opportunity Employer.  All qualified applicants will receive consideration for employment without regard to age, sex, gender identity, sexual orientation, gender expression, religion, race, color, ancestry, national origin, disability, veteran’s status, citizenship or any other classification protected under Guam and federal law.

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