Insurance Claims Processor
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Insurance Claims Processor overseeing insurance claims adjudication for Peak Health. Analyzing and processing claims while maintaining quality standards.
Responsibilities:
- Review and oversee the adjudication of claims
- Analyze and process insurance claims
- Determine whether to return, deny, or pay claims
- Screen, review, evaluate online entry, error correction, and quality control for final adjudication of claims
- Resolve claim edits and review history records
- Communicate effectively with internal and external staff
- Ensure accuracy of data entered and record maintenance
- Attend all required training classes
Requirements:
- High School diploma/GED
- One (1) year of experience working with medical or institutional claim data entry OR One (1) year of customer service experience
- Associate Degree in related healthcare field preferred
- Two plus years of medical or institutional claims processing and customer service experience preferred
- Working Knowledge of administrative and clerical procedures and systems
- Excellent written and oral communication skills
- Ability to understand medical insurance requirements and basic knowledge of covered services
Benefits:
- Health insurance
- 401(k) matching
- Paid time off
- Flexible work arrangements
- Training and development opportunities
Report this job
Job expired or something wrong with this job?
Similar Jobs
Claims Examiner
Claims Processor processing medical claims for Imagenet LLC, a healthcare technology company. Ensuring compliance with payer requirements and maintaining accurate claims records in a remote setting.
HVAC Warranty Claims Coordinator
Warranty Coordinator responsible for processing HVAC warranty claims for multiple vendors. Requires strong operational background and proactive problem-solving skills in a remote environment.
Claims Specialist, Liability & Casualty
Claims Specialist providing claims experience to policyholders at Swyfft. Handling liability and casualty claims with empathy and problem-solving skills.
Bodily Injury Claims Specialist
Bodily Injury Claims Specialist at Charger Logistics managing trucking and logistics claims. Overseeing investigation, negotiation, and resolution of claims while minimizing liability exposure.
Claims Adjuster – Crop
Claims Adjuster handling crop insurance claims remotely in Wisconsin. Completing inspections, communicating with parties, and ensuring compliance with regulations.
Senior Disability Claims Examiner – LTD
Senior Disability Claims Examiner providing exceptional service in managing Long-Term Disability claims at Prudential. Collaborating with medical resources and delivering exceptional customer experience.
Field Auto Claims Analyst III
Field Auto Claims Adjuster creating estimates of damages for 1st and 3rd party claims. Join a fast-paced team with National General Insurance in the USA.
Senior Cyber Claims Specialist – Cyber Insurance MGA
Cyber Claims Specialist managing cyber and tech E&O claims for Converge Insurance. Handling claims from first notice to resolution while providing market-leading customer service.
Cyber Claims Specialist – Cyber Insurance MGA
Cyber Claims Specialist managing primary Cyber and Tech E&O claims while collaborating with brokers and external vendors. Analyzing liability, drafting correspondence, and ensuring effective claim administration.
Claims Specialist
Claims Specialist processing claims requests while providing customer service for Sonsio Vehicle Protection. Ensuring compliance and quality standards in a fast-paced call center environment.
Auto Claims Adjuster, Experienced
Auto Claims Adjuster investigating and confirming facts of loss for basic to advanced automobile accidents. Negotiating claims and providing customer service while applying insurance knowledge.
Claims Examiner – Lead
Claims Examiner Lead overseeing Claims Examiner team operations and training. Ensuring competency, measuring performance, and providing excellent service in claims processing.
Bodily Injury Claims Adjuster
Bodily Injury Claims Adjuster for Charger Logistics managing claims for trucking and logistics operations. Overseeing investigation, negotiation, and recovery of claims while minimizing liability exposure.
Inside Auto Claims Specialist
Inside Auto Claims Specialist assisting customers through the claims process after vehicle losses. Managing claims efficiently and ensuring fair settlements with strong communication and critical thinking skills.
Auto Claims Adjuster
Auto Claims Adjuster investigating and negotiating automobile accident claims for National General. Role requires analytical thinking and insight on insurance policies in various Northeastern states.
Claims Examiner I
Claims Examiner handling healthcare claims processing, research, and adjudication at WebTPA. Ensuring accuracy in medical claims and verifying coverage under policy guidelines.
Insurance Claims Processor
Claims Processor analyzing and processing insurance claims in a remote setting. Requires a high school diploma and one year of relevant experience.
Claims Processor
Claims Processor ensuring timely and accurate adjudication of medical claims in a remote role. Join a team focused on improving healthcare accessibility and experience for small businesses.
Senior Claims Specialist, Veterinary Claims
Analyze complex veterinary claims and manage total claim costs at Sedgwick. Provide high levels of customer service while coordinating case management and negotiations.
Claims Representative – Workers Compensation Training Program
Claims Representative (IAP) - Workers Compensation Training for entry-level candidates at Sedgwick. Comprehensive training program to equip new industry professionals for successful claims adjusting.