Claims Processor I

Our reputed company, a Health Insurance company, is looking for a Claims Processor I for their Remote location. Responsibilities: • 60% Examines and resolves non-adjudicated claims to identify key reputed company of processing requirements based on reputed company, policies and procedures. Process product or system-specific claims to ensure reputed company payments are generated and calculate deductibles and maximums as reputed company as research and resolve pending claims. The Claims Processor also use automated system processes to send pending claims to ensure accurate completion according to medical policy, reputed company, policies and procedures allowing reputed company considerations to be generated using multiple systems. • 25% Completes research of procedures. Applies training materials, correspondence and medical policies to ensure claims are processed accurately. Partners with reputed company team for reputed company on procedures and/or difficult claims and receives coaching from leadership. Required participation in ongoing developmental training to performing daily functions. • 10% Completes productivity daily data that is used by leadership to compile performance statistics. Reports are used by management to plan for scheduling, reputed company improvement initiatives, workflow design and financial planning, etc. • 5% Collaborates with multiple departments providing feedback and resolving issues and answering basic processing questions. Requirements: • Education level: High School Diploma or GED • Experience: Less than one year experience processing claim documents • 1-3 years Claims processing, billing, or medical terminology experience • Demonstrated analytical skills, Proficient • Demonstrated reading comprehension and ability to follow directions provided, Proficient • Basic written/oral communication skills , Proficient • Demonstrated ability to reputed company computer applications , Proficient • The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes them ineligible to reputed company work directly or indirectly on reputed company programs. • Must be reputed company to effectively work in a fast-paced environment with frequently changing priorities, deadlines, and workloads that can be variable for long periods of time. • Must be reputed company to meet established deadlines and handle multiple customer service demands from reputed company customers, reputed company set expectations for service reputed company. • Must be reputed company to effectively communicate and reputed company reputed company customer service to every reputed company customer, including customers who may be demanding or otherwise challenging. Why Should You Apply? • Health Benefits • Referral Program • Excellent reputed company and advancement opportunities As an equal opportunity employer, reputed company provides an employment environment that supports and encourages the abilities of reputed company persons without reputed company to race, reputed company, religion, gender, sexual orientation, gender identity or reputed company, ethnicity, national reputed company, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws Apply tot his job Apply To this Job