STATE OF NEW HAMPSHIRE
HUMAN RESOURCES
CLASSIFICATION: CLAIMS PROCESSOR TRAINEE
Class Code: 2035-07
Date Established: 05-16-78
Occupational Code: 1-2-2
Date of Last Revision: 12-28-01
BASIC PURPOSE: To screen and check claim forms prepare
documents for processing and process claims under direct supervision.
CHARACTERISTIC DUTIES AND RESPONSIBILITIES:
·
Screens, checks and
compares data on claim forms for completeness and accuracy prior to data entry
and following a review by supervisor.
·
Processes corrections
and adjustments based upon computer generated transaction and error listings.
·
Processes updated
information on case records to maintain computer master file.
·
Retrieves rejected
claims information for computer system for transmittal to proper area of
disposition following a review with the supervisor.
·
Processes vendor
claims for payment by calculating payment under supervision.
·
Enters claims data
into computer system to ensure accurate case record maintenance.
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DISTINGUISHING FACTORS:
Skill: Requires skill in applying instructions
to accomplish different job functions OR in operating machines for a variety of
different purposes.
Knowledge: Requires understanding and using
business or trades vocabulary or basic arithmetic to perform standard operating
procedures.
Impact: Requires responsibility for
contributing to agency objectives by ensuring the accuracy of support
activities within one or more organizational units. Errors at this level affect the work of others or have
measurable monetary consequences, and require verification and correction in
order to complete succeeding work operations.
Supervision: Requires no supervision of employees or
functions.
Working Conditions: Requires performing regular job
functions under good conditions in a safe working environment.
Physical Demands: Requires sedentary work, including
continuous sitting or occasional standing and walking.
Communication: Requires explaining facts, interpreting
situations, or advising individuals of alternative or appropriate courses of
action. This level also requires
interviewing or eliciting information from state employees or members of the
general public.
Complexity: Requires a combination of job functions
using minimal judgment to perform a variety of job tasks according to clearly
prescribed standard practices and procedures.
Independent Action: Requires minimal choice in performing
routine duties under immediate supervision and in following simple instructions
according to standardized policies and procedures.
MINIMUM QUALIFICATIONS:
Education: High school diploma, G.E.D. or its
equivalent. Each additional year
of approved formal education may be substituted for one year of required work
experience.
Experience: One year of experience involving forms
or claims examination or similar audit and verification activities.
License/Certification: None required.
SPECIAL REQUIREMENTS: For appointment consideration, Claims
Processor Trainee applicants must successfully participate in a written
examination measuring possession of knowledge, skills and abilities identified
as necessary for satisfactory job performance by this class specification.
RECOMMENDED WORK TRAITS: Knowledge of the basic theories and
principles of data processing.
Knowledge of data processing methods and techniques. Skill in making simple mathematical
computations with speed and accuracy.
Ability to refer to code listing and make proper code entries on
forms. Ability to follow
instructions. Ability to establish
and maintain harmonious working relationships with other state agencies and
employees. Must be willing to
maintain appearance appropriate to assigned duties and responsibilities as
determined by the agency appointing authority.
DISCLAIMER STATEMENT: This class specification is descriptive
of general duties and is not intended to list every specific function of this
class title.
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Last Updated 05/10/02
URL: /hr/classspec_c/2035.htm