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REMOTE Claims Specialist (MUST BE IN CA)

MMC Group LP

REMOTE Claims Specialist (MUST BE IN CA)

Los Angeles, CA +2 locations
Full Time
Paid
  • Responsibilities

    Job Description

    JOB TITLE: RETROACTIVE CERTIFICATIONS AGENT

    RATE: $18/HOUR

    JOB SUMMARY

    The Retroactive Certification Agent is responsible for reviewing unemployment insurance claims' weekly claim certification to ensure eligibility requirements were met. Using critical thinking skills, the Agent will analyze all information, notes, and documentation to support the processing of retroactive certifications. They will perform outreach to claimants and/or employers, as needed, to obtain any necessary information to complete certification processes, notating the contact and outcome in the claim file.

    The position requires using time management to work a caseload effectively and in order of priority set by leadership, critical thinking skills to identify the needs on each unique claim, and communication skills ensuring that information gathered is clearly notated in the claim. In this role, agents may be cross trained on several similar workstreams in order to support evolving needs and volumes of retroactive claim processing.

    JOB DUTIES

    Retroactive Certification Agents will perform job duties such as:

    • Analyzing claim information to identify discrepancies or missing information
    • Assessing the information against requirements based on UI Code, Policies, and Procedures
    • Sending claimants and/or employers standard forms or requesting information by phone based on these forms to obtain additional information or clear up a discrepancy
    • Working closely with subject matter experts to gain further understanding of how to process certifications or identify when a claim needs to be escalated
    • Referring complex issues to supervisor or tenured staff
    • Notating all actions taken on a claim clearly and thoroughly
    • Demonstrating the ability to make logical decisions
    • Demonstrating the ability to manage a workload in a way that meets timeliness requirements
    • Demonstrating computer proficiency required to navigate project systems
    • All other duties as assigned by management to support certification processing

    NOTE: THIS POSITION WILL WORK FULL-TIME, REMOTE, MONDAY THROUGH FRIDAY 8AM TO 5PM PACIFIC TIME.

    EXPERIENCE & QUALIFICATIONS

    • 0-1 years' experience in claim or case management
    • Proficient technical writing skills to support detailed case notes
    • Computer proficiency required to navigate multiple project systems
    • Critical thinking & time management skills

    Company Description

    Throughout the past 30 years plus, MMC, one of the most trusted names in workforce management services, has successfully delivered strategic solutions to large and small businesses in numerous industries. We have built our reputation on partnering with our clients and candidates to achieve the desired results. Our recruiting professionals have extensive experience matching the right candidate, to the right client, for the right position. We provide the best opportunities to the most talented candidates in a multitude of industries. MMC is a privately owned business with corporate headquarters in Irving, Texas. With 2,000+ employees, working in 40+ states, MMC is able to support all United States locations, and some international locations. We appreciate your interest in reviewing this particular position and we encourage you to visit our website where you can always search and apply for opportunities at www.mmcgrp.com Get started on your career journey today! Apply to become a part of the MMC Team! We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.

  • Locations
    Los Angeles, CA • Anaheim, CA • Rancho Cordova, CA