JR103423 Claims Specialist I - Onsite - Norton, VA

Modivcare • Norton, VA

3d • $14 - $16 • Onsite

About The Position

Are you passionate about making a difference in people's lives? Do you enjoy working in a service-oriented industry? If so, this opportunity may be the right fit for you! Modivcare is looking for a Claims Specialist I to join our team. This position is responsible for processing and managing claims submitted by providers, including verifying the accuracy and completeness of documentation and attachments. This role…

Requirements

• High School Diploma required.
• Zero (0) plus years of experience. Or equivalent combination of education and/or experience.
• Strong attention to detail and data entry skills to ensure claim accuracy.
• Basic computer proficiency, including Microsoft Word, Excel, and Outlook.
• Analytical mindset with the ability to interpret claim data and follow established procedures.
• Effective verbal and written communication skills with a superior customer-focused demeanor.
• Problem-solving skills to address claim discrepancies and issues.
• Ability to work both independently and as part of a collaborative team.

Responsibilities

• Reviews incoming claims and related documentation to ensure accuracy and completeness.
• Inputs claim data and pertinent information into the claims processing system.
• Reviews company policies to determine coverage and assess the validity of claims.
• Uses standard scripts or form letters to request missing information.
• Applies established guidelines and policies to determine claim eligibility and process accordingly.
• Communicates with providers when necessary to obtain additional information or clarify claim details.
• Adheres to departmental policies, deadlines, and procedures for claim handling.
• Reports suspected fraudulent claims to the Fraud, Waste, and Abuse (FWA) department.
• May participate in special projects or perform other duties as assigned.

Benefits

• Medical, Dental, and Vision insurance
• Employer Paid Basic Life Insurance and AD&D
• Voluntary Life Insurance (Employee/Spouse/Child)
• Health Care and Dependent Care Flexible Spending Accounts
• Pre-Tax and Post --Tax Commuter and Parking Benefits
• 401(k) Retirement Savings Plan with Company Match
• Paid Time Off
• Paid Parental Leave
• Short-Term and Long-Term Disability
• Tuition Reimbursement
• Employee Discounts (retail, hotel, food, restaurants, car rental and much more!)

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED