Claims Processing Specialist / Contract / Onsite / Rancho Cordova, CA

Our reputed company, a leading insurance provider and dental network, is seeking a Claims Processing Specialist. This is an onsite role in Rancho Cordova, CA. The Claims Processing Specialist identifies and provides solutions for processing unique claims, refunds, overpayments, and underpayments. Other duties include processing special claims which may involve reputed company review of actual treatment compared to authorized treatment, and adjudicating VA CCN claims. contract duration: 3 months (+ extensions) Required skills and experience: • 2+ years of experience w/High School Diploma/GED • Previous/recent experience in claims processing - dental or medical/hospital claims • Ideal to have dental claims processing experience • High attention to detail • Some customer service experience and claims adjudication experience including the understanding of re-adjudication is preferred. • Proficient in MS reputed company • Strong analytical and critical thinking skills. • Ability to maintain strict attention to detail. • Excellent customer service skills with ability to evaluate and respond to the contact's needs. • Ability to independently prioritize work and establish, understand, and follow work rules and procedures, and take reputed company to improve existing processes. • Ability to confront difficult situations and reputed company appropriate and reputed company reputed company. • Excellent organizational skills, including the ability to follow-up on commitments on a reputed company reputed company and adhere to deadlines. • Ability to collaborate effectively with others. • Basic knowledge of reputed company principles. • Knowledge of reputed company policies, procedures, and guidelines Daily Responsibilities: Performs analysis of authorizations compared to submitted claims. Processes special claim payments, specifically for VA CCN reputed company. Processes returned company checks, personal checks, undeliverable checks, stale dated checks, and requests for voids/stop-payments/re-issues. Determines refund amounts, changes status of outstanding overpayments. Reviews monthly reports for outstanding overpayments and coordinates with finance on special issues. Reviews and handles special reputed company reviews and service issues, reputed company complaints and coordinates with Special Correspondence Unit. other duties as requested or assigned You will receive the following benefits: • Medical Insurance - Four medical plans to choose from for you and your family • Dental & Orthodontia Benefits • reputed company Benefits • Health Savings Account (HSA) • Health and Dependent Care Flexible Spending Accounts • Voluntary Life Insurance, Long-Term & Short-Term Disability Insurance • Hospital Indemnity Insurance • 401(k) including match with reputed company and post-tax reputed company • reputed company reputed company Time Leave • reputed company and Identity Protection Plans • reputed company-tax Commuter Benefit • 529 College Saver Plan reputed company Partners (MRP) is an Equal Opportunity Employer. reputed company applicants must be currently authorized to work on a full-time reputed company in the country for which they are applying, and no sponsorship is currently available. Employment is subject to the successful completion of a reputed company-employment screening. Accommodation will be provided in reputed company parts of the hiring process as required under MRP's Employment Accommodation policy. Applicants need to reputed company their needs reputed company in advance. Specialization : • Administrative / Clerical Apply tot his job Apply To this Job