Medical Claims Representative $23.50/HR - IMMEDIATE HIRE
TEKsystems•City of White Plains, NY
•$24 - $24•Onsite
About The Position
IMMEDIATE OPENING FOR MEDICAL CLAIMS REPRESENTATIVE OPPORTUNITY TO WORK FOR ONE OF THE LARGEST INSURANCE CARRIERS IN THE AREA FULL TIME OPPORTUNITY WITH ROOM FOR AVANCEMENT MONDAY - FRIDAY 8AM-5PM WHITE PLAINS, NY (ON SITE ONLY) $21-$24/HR This is a Contract to Hire position based out of White Plains, NY. This is a fully onsite position in White Plains,NY. This position is anticipated to close on May 28, 2026.
Requirements
- 2 years of medical claims experience
- Experience working with denied claims
Responsibilities
- Review and adjudicate all types of claims designated as “production claims”, meeting production and quality goals.
- Review, investigate, and apply all necessary criteria to determine validity of claim.
- Apply benefit plan rules and processing guidelines to pay, pend, or deny claims.
- Review and determine eligibility and coverage for specific group/plan.
- Research claim problems and take necessary actions to resolve.
- Utilize training and on-line documentation to keep up to date on processing guidelines, insurance principles, DOL rules and regulations, and benefit plan rules.
- Utilize Claim Workflow system for work assignments, routing, and follow up.
Benefits
- Medical, dental & vision
- Critical Illness, Accident, and Hospital
- 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Short and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or Sick Leave)
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
