Claims and Policy Processor Job Questions & Answers

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1 answer - Asked By: Fitness Expert - 8/29/2011
...What does anyone recommend? I have been in the mortgage industry for 11 years. Am pretty computer literate, but do not know Excel, Power Point, Desktop Publishing. Need to find another job soon, as I think mine is about to end!
4 answers - Asked By: carabids - 9/22/2010
I just got this e-mail and was wondering if it was bogus or the real deal. What is the OCRA? Should i trust them?
6 answers - Asked By: Katie Lynn - 3/7/2011
On campus or on-line?Should I go back to school or just stay where I am(making $12.00).If I go how can I pay for my classes?Which school is a good school that I can find a good job after I am graduated.
4 answers - Asked By: broken heart - 11/28/2006
I received this Work at home email after I applied for the position after finding it on Indeed.com. Some things are a little fishy... 1st email says training materials are non refundable, 2nd emails says 60 day money back guar. and everything is paid through paypal, person emailing me is from Gmail account claiming to be a HR recruitor, there is no research online that comes up if it is a known scam, please read the following and tell me what you think !! thanks =) ......................................................................................................................................... Hi AnnMarie, An online Payroll Data Entry Processor/Home Typist position requires that you have a reliable computer with constant Internet access and capabilities, a valid E-mail account, basic Internet knowledge, and minimal typing skills. You must also be able to conduct yourself in a professional manner. This includes having excellent grammar and spelling when communicating with clients via E-mail. In addition to the above requirements, you MUST be able to follow instructions closely and completely! You will do all contact via E-mail, so you will not be required to call anyone at anytime. This allows you to work whichever hours are most convenient for you (days, night, or weekends). You will be processing applications, as well as filling out forms in specific company databases (this tends to be tedious at times, so please be sure that you have the patience to do so before proceeding). This is why you will need to have basic Internet knowledge, though the training provided will give you step-by-step instructions on how to perform these tasks properly. There are no “down-times” with this position, so you will have a constant flow of work to complete. THIS IS NOT A GET RICH QUICK SCHEME, so if that is what you are looking for please do not pursue this opportunity. You will be paid $50 for each application completed. The amount of money you make each week is entirely up to you, and how much time and effort you are willing to put in with this position. The average person makes $1000-$2500 each week. When you have been accepted as a Data Entry Clerk/Home Typist, you are considered an Independent Contractor. This means that your taxes will not be taken out; therefore, you will not be provided with any tax forms. THIS IS ENTIRELY YOUR RESPONSIBILITY. The training provided will go more in depth about what to do with your taxes. You will receive your pay through PayPal or whichever online payment portal you choose. When an application is completed, $50 will be credited to your PayPal account, which can be withdrawn into your bank account at your leisure. You can read about the security policies at www.paypal.com. There is a one-time non-refundable fee for the training package. This also includes all the administration processing fees and training costs. We offer professional online support for as long as you may need us. This is a one-time fee, and there will be no other charges to you. However, the fee must be received before you can gain access to the “Training Materials. We must accept this fee to cover training costs, processing fees, as well as to ensure that only serious applicants apply. This is a non-refundable fee, so be sure that you understand what you are doing before sending in your payment for the training materials. This fee will not be waived for anyone, and cannot be deducted from your first pay. This is because if you do not process applications, you will not have a first pay, and we will have already taken the time to set you up, and train you. Once your payment is received, you will be given immediate access to your training materials. You will need a word processing program in order to perform this position successfully (MS Word, Works, Notepad, etc.) Once you have received the training materials, you can START working from home TODAY. Most applicants typically complete the training within 24 hours or less. However, you can do this at your leisure. Keep in mind that the sooner you go through the training materials, the sooner you will START earning money. We will be able to be contacted via E-mail at any time after you have received your training materials to help you, or answer any questions you may have. If you are serious about this position, meet all the requirements, and are responsible enough to work from home, then please contact us via E-mail and we will inform you of the cost of the training packet, and how to set up a PayPal account to send the fee (if you do not already have an account). You seem like an excellent candidate for this position, and we hope that we will hear from you again so that we can get you STARTED right away! Sincerely, Robert Frank Human Resource.
9 answers - Asked By: AnnluvsMaxMillion - 9/25/2012
So I've seen a lot of things about the iPhone 5. Also that it has come out in Japan, and will supposedly come out here (America) this summer. Is this real? Is there actually going to be an iPhone 5? If so, what is it? What will be some of it's features? I also read that it may have a slide out QWERTY keyboard. Will it? If anyone has any information on this, i would love to know. I am looking into getting an iPhone, but am willing to wait if a new one will be coming out. Thank You!
4 answers - Asked By: Kenzie - 3/14/2011
To this date October 8, 2008 I have been fighting BC/BS of Oklahoma to pay for my son's COVERED speech therapy services since April 24, 2008. My son has been going to speech therapy since August of 2007 for a congenital speech disorder caused by autism. These services- according to the benefits package that came with our PPO and the benefits adviser from my husband's job are covered 100? No co-pay, no exclusions, no deductible are being kicked out of the system as "Not a covered service", for no reason at all. In total I have spent over 900 minutes on the phone trying to straighten this mess out and not one person will give me an answer as to why these COVERED services are being denied. We have had alerts put on our account to inform the processors that this is a covered service, we have had supervisors manually process the claims. But for some reason they are still getting kicked out as not a covered service. There are four dates of service, 4/9/08, 7/9/08, 7/20/08, 8/20/08 that my doctor's office has resubmitted 6 times now and they are still not being covered. These total 178.00. The visit from April is about to go into collections and BC/BS is leaving us absolutely no choice but to pay these claims or risk a ding on our credit. We have worked long and hard to have the credit ratings we both have and I don't want them destroyed because of this companies incompetence. I would pay these claims out of pocket, but I will not be reimbursed. I will get a 178.00 credit on our account at the doctor's office. If anyone here has any advice that will help us get these claims resolved I would greatly appreciate it. Should I just pay these claims and eat the 178.00, or should I keep fighting this and refuse to pay? Sorry I didn't say what the denials said, they all get denied because the insurance company claims that "Claim denied because this is not a covered service." Even though the services are covered. And the claims reps. have all said they are a covered service.
5 answers - Asked By: Toni S - 10/8/2008
My boyfriend works in a privately owned coffee shop in town where we live. Today, just seemed to be his lucky day. He works in the kitchen and is a barista there as well. He was cutting hummus in a broken, decrepit food processor that wasn't thrown out or replaced and is owned by the owner of the store. Well let's just say that this processor is WAY beyond repair, you have to use a pencil to turn it on and off. I mean come on. <(As a side note, food processors have a built in safety mechanism that keeps them from operating when the top is off.) Anyway, he chopped the hummus and after making sure it was off, like any capable human being would, he reached inside to take the blades out to refill and continue doing his job, when it shorted out and turned on while his hand was still inside. Needless to say, it was pretty bad. So after getting to the hospital, checking in, being seen by the doctor and leaving, he comes to find that the owner has been making his other fellow employees sign a form that stated he put his hand in it while it was still on and the top was off, when in fact there was was about four other people in the kitchen when this occurred, but no one saw it happen or mentioned the fact that it was still on. Okay, a couple things I should fill you in on before we continue. One - the owner of this restaurant is a ex-serviceman and accountant. Two - half of her "employees" are actually volunteers working for food credit, Three - It is NOT a known fact if she has actual business insurance or not, Four - She's fighting Worker's Compensation about this incident. Five - She actually stated to other employees that if he has outside insurance, there would be no need to claim through workers compensation. If you where in this situation and dedicated your life to help run another "good natured" person's business, a STRUGGLING business at that, to keep it open, what action would you take? If you are like me, I told him to sue her ass. Yes in fact he can. It was his finger, not his c*ck.
5 answers - Asked By: johnniefreefall - 10/28/2009
1 answer - Asked By: KIONA - 6/16/2010
Why cant Nazi Pelosi get enough support for a health-care bill? Out of 435 members of the house there are 257 democrats and only 177 republicans. Is it because the democrat party has become fractured? Rep LaTourette stated today that republicans in the house couldn't stop a one car parade much less a health-care bill. http://www.youtube.com/watch?v=FE_0UdjElNQ&feature=ytn:mptnews You have a majority in the house, senate and a rubber stamp in the oval office. Do democrats appear as nothing more than a bunch of idiots scurrying around trying to stomp out their own pink f***s?
19 answers - Asked By: Liberal Madness - 10/29/2009
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Business Career Tools

Claims/Policy Processing Clerk

Salaries

$20,000.00 - $38,000.00
Typical Salary for Claims/Policy Processing Clerk
(47 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Some College Coursework Completed
41.3%
Bachelor's
21.7%
Associates
21.7%
High School
10.9%
Master's
4.3%
(46 Respondents)
Source: Monster.com Careerbenchmarking Tool

Claims/Policy Processing Clerk

Processes insurance claims and policies by performing related duties.
Rate of Growth
8.70 %
Size of Industry in 2006:
248,000
Source: Bureau of Labor Statistics, May 2006

Related Skills

Administrative Writing Skills
Analyzing Information
Claims Adjustment
Corporate Finance

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