-Review claim submissions to confirm requireddocuments have been received, verify medical codes, eligibility, other insurance, authorizations, and account benefit plans.-Follow established policies and procedures to pay, pend for additional information, or deny claims.-Adapt to and positively influence change by accepting feedback with a growth mind set to continuously improve.-Follow processes and work independently to meet or exceed Key Performance Indicators (KPI).-Ability to effectively excel in a virtual work environment through active participation in team huddles, Supervisor, 1x1 or check-ins, using a variety of virtual tools, i.e. Outlook email, Cisco Web-Ex or or other similar applications.-Maintain a high level of accuracy in all duties performed.-Held accountable for meeting and maintaining minimum quality and production standards through use of Management Operating Systems (MOS) tools: Daily Production Log (DPL), Performance Profile, Claim Review tool, and other reporting systems.-Partner with the Resource Management Group (RMG) on Workfow Tool (WFT), pended claims, or other inventory issues.-Partner with Technical Coaches to understand claim processes and procedures.