Mailroom Clerk III (Claims Sort)

Full Time
Madison, WI 53718
Posted
Job description

Who We Are

WPS Health Solutions is a leading not-for-profit health insurer in Wisconsin. Our services offer health insurance plans for individuals, families, seniors, and group plans for small to large businesses. We process claims and provide customer service support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. In 2021, WPS Health Solutions celebrated 75 years of making health insurance easier for those we serve. Proud to be military and veteran ready.

Our Culture

WPS’ Performance-Based Culture is where the great work and innovations of our people are seen, fueled, and rewarded. We accomplish this by creating an inclusive, empowering employee experience, focusing on People, Work, and Conditions. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities. We are guided by our Purpose: Together, making health care easier for the people we serve.

In 2021 and 2022, WPS Health Solutions was recognized for several awards including:

  • Madison, Wisconsin’s Top Workplaces
  • Top Workplace national cultural excellence awards for Remote Work and Work-Life Flexibility
  • Achievers 50 Most Engaged Workplaces® with the further honor of Achievers “Elite 8” winner in the category of Culture Alignment

Role Snapshot

This role provides clerical services in opening, identifying, prepping, and sorting all incoming mail/documents for all lines of business and contracts in order to bring them under initial control within established timeframes.

  • Open, identify, sort, and route non-claim documents to the appropriate departments.
  • Open, identify, sort, and distribute all incoming mail based on division and department.
  • Identify, sort, and prep all claims according to document type, scanning needs, and guidelines for multiple contracts.
  • Identify and prep claims for OCR scanning according to established guidelines.
  • Identify and prep specified internal and external departmental non-claim documents in proper order according to established guidelines.
  • Identify and return claims/documents to providers/beneficiaries or other contractors for resubmission as needed.
  • Perform basic, routine equipment maintenance, including but not limited to, automated mail opening equipment.
  • Meet department requirements for quality based on weekly audits and quantity performance against reasonable expectancy (RE)..

How do I know this opportunity is right for me? If you:

  • Prefer working on-site versus remote work
  • Would like more flexibility in your work schedule in terms of when you start and end your shift each day
  • Enjoy interaction and communication with your team members face-to-face
  • Appreciate instantaneous communication and feedback in person
  • Want to learn more about health insurance and government contracting
  • Like working in a fast-paced environment with deadlines

What will I gain from this role?

  • Opportunity to work in a role that has a flexible work schedule
  • Social interaction working with a team on-site
  • Experience working in an environment that serves our Nation’s military, veterans, Guard and Reserves and Medicare beneficiaries
  • Working in a continuous performance feedback environment

Minimum Qualifications

  • U.S. citizenship is required for this position due to Department of Defense restrictions.
  • High School Diploma or equivalent
  • Ability to transport materials weighing up to 50 lbs. using proper equipment to designated locations required.
  • Experience using personal computer with basic keyboarding skills
  • Ability to learn multiple divisions’ opening, identifying, prepping, and sorting guidelines
  • Ability to learn basic office procedures and Mailroom filing systems, forms, and routines
  • Ability to operate office equipment, including copier, automated mail opening machines,
  • computer, etc.
  • Ability to learn and access system-related applications and programs
  • Ability to assume multi-faceted tasks with flexibility to adjust to continuing change and
  • fluctuating workloads
  • Demonstrated ability to understand and accurately follow written guidelines/procedural
  • updates to comply with all relevant ISO policies and procedures

Pay

$15.00 per hour

Pay for Performance

Each quarter you have the opportunity to increase your pay rate (after 3 quarters in the role).

Scheduled Shift

Very flexible start and end times between 6:00 AM and 7:00 PM (8-hour work day), Monday through Friday, 40 hours per week with overtime as necessary. There is the possibility of working 4 10-hour workdays occasionally dependent on timing and approval of request.

Work Location

This position is located in Madison, Wisconsin at 5049 Tradewinds Parkway (East Side). Very conveniently located just off the beltline.

Benefits

  • Bargaining Unit position
  • Performance bonus and/or merit increase opportunities
  • 401(k) with dollar-per-dollar match up to 6% of salary (100% vested immediately)
  • Competitive paid time off
  • Health, dental insurance, Teladoc starts DAY 1
  • Review additional benefits here

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Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)

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