Claims Processor
About The Position
You will process incoming work associated with Claims operations following standard operating procedures. You will report to the Claims Production Team Lead. Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote Pay Transparency: The base pay for this role is: $19.00 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year
Requirements
- 1+ years previous work experience in claims processing
- 1+ years quantitative analysis skills demonstrated through the use of Excel or Google Sheets
Nice To Haves
- A bachelor’s degree in Business, Accounting, Finance, Economics, Healthcare, Public Policy, Technology or Math
- In-depth knowledge of general Insurance or Health Insurance operations processing protocols and payment schemes.
- Experience manipulating and entering accurate data in a production environment.
- Experience handling Personal Health Information (PHI).
- Ability to balance competing priorities and continue to accomplish projects.
Responsibilities
- Develop an excellent grasp of the Administrative Operations system and overall workflows.
- Develop a comprehensive understanding of the current review processes that exist and additional processes needed to improve consistency and quality of review.
- Contribute to the reduction of the daily inventory.
- Form relationships with all partners.
- Take ownership of monitoring, tracking, and providing a status on the health of all work-in-progress issues.
- Manage the escalation and resolution process with external vendors to ensure appropriate turnaround times (where applicable).
- Contribute to team-wide goals that support the success of Claims Productions daily operations.
- Compliance with all applicable laws and regulations
- Other responsibilities as assigned
Benefits
- medical, dental, and vision benefits
- 11 paid holidays
- paid sick time
- paid parental leave
- 401(k) plan participation
- life and disability insurance
- paid wellness time and reimbursements
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Number of Employees
1,001-5,000 employees
