Associate Claims Processor

📋 Description

• Receives and processes claims, which includes entering and verifying claims data.

• Resolves claim edits and assesses benefit eligibility.

• Reviews payment levels and escalates issues to supervision when necessary.

• Meets both production and quality standards, ensuring work is completed timely and accurately.

• Maintains precise records, including timekeeping information.

• Participates in all mandatory training sessions.

⛳️ Requirements

• High School Diploma or GED is required.

• A minimum of 1 year of related experience is preferred.

• Ability to follow directions and navigate through various systems.

• Familiarity with administrative and clerical procedures.

• Proficiency in mathematics for claim adjudication.

• Capability to resolve problems using predefined methods and guidelines.

• Understanding of operating systems specific to claim processing.

• Ability to thoroughly read guidelines to ensure claim accuracy.

🏝️ Benefits

• Health insurance.

• 401(k) matching.

• Flexible work hours.

• Paid time off.