Claims Payer

The Lewer Companies • Overland Park, KS

3h • $55,000 - $60,000

About The Position

As a Claims Payer at Lewer, you evaluate and process claims accurately and efficiently, supporting the organization’s financial health, customer satisfaction, regulatory compliance, operational efficiency, data management, and provider relationships. You help ensure members are treated fairly and receive the benefits they are entitled to, while providing client service and collaborating with internal and external stakeholders to resolve claim issues and disputes.

The role involves claims verification, adjudication, and payment; accurate coding; and handling sensitive policyholder, medical, and financial information in accordance with proper data security, privacy, and accuracy practices. You interact with healthcare providers and contribute to positive provider relationships through timely and accurate claims payments. You are also expected to cross-train and serve as backup for colleagues as needed.

Work is primarily conducted at Lewer Administrative Offices, with occasional work at a remote location such as a home office. Travel is required and is less than 5%. The position requires remaining stationary 75% of the time, occasionally moving around the office, and operating a computer and other office productivity machinery 95% of the time. You must be able to lift up to 20 pounds.

Requirements

• Bachelor’s degree from an accredited university in healthcare, business, or education.
• Experience in medical claims adjudication and client care roles.
• Excellent analytical skills.
• Proficiency with Microsoft Office applications, including Word, Excel, PowerPoint, and Outlook.
• Proficiency with claims management systems.
• Hold a life and health insurance license or obtain one within 90 days of hire.
• Able to remain stationary 75% of the time and occasionally move about inside the office.
• Able to operate a computer and other office productivity machinery 95% of the time.
• Able to lift up to 20 pounds.

Responsibilities

• Evaluate, adjudicate, and process claims accurately and efficiently.
• Verify claims, apply accurate coding, and issue payments in a timely manner.
• Handle sensitive policyholder information, medical records, and financial transactions with appropriate security, privacy, and accuracy.
• Provide client service and collaborate with internal and external stakeholders to resolve claim issues and disputes.
• Communicate and build relationships with healthcare providers, including hospitals, clinics, and individual practitioners.
• Cross-train and serve as backup for colleagues as needed.
• Travel as required; travel is less than 5%.

What This Job Offers

• Job Type: Full-time