Claims Specialist

Cherokee Nation • Tahlequah, OK

3d • Onsite

About The Position

Assists employees, providers, and third-party administrators with eligibility and insurance claims filing processes. Reviews insurance claims, investigates and verifies eligibility, transmits routine claims and maintains records.

Requirements

• Associate's degree from two-year college or technical school in Business Administration or related field; or three years related experience and/or training; or equivalent combination of education and experience.
• An additional two years experience in a related business field is required.
• Must possess a valid driver's license with a driving history verified through a motor vehicle report that meets requirements for Cherokee Nation underwriting rating.
• Employee must not and will not be under sanction by the United States Department of Health and Human Services Office of the Inspector General (OIG) or by the General Services Administration (GSA) or listed on the OIG’s Cumulative Sanction Report, or the GSA’s List of Excluded Providers, or listed on the OIG’s List of Excluded Individuals/Entities (LEIE).
• Must possess the skills to operate various computer programs and standard office equipment.
• Must be knowledgeable with word processing, spreadsheets, and graphic software; routine office equipment.
• Must have excellent written and verbal communication skills.

Nice To Haves

• One year of experience in the insurance field.
• May include two years or more of undergraduate college course work.

Responsibilities

• Assists employees, providers, and third-party administrators with eligibility and insurance claims filing processes.
• Reviews insurance claims.
• Investigates and verifies eligibility.
• Transmits routine claims.
• Maintains records.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree