Claims Processor

Job Summary

A company is looking for a Claims Processor III (Remote).

Key Responsibilities

• Review and adjudicate complex paper/electronic claims following organizational policies and procedures
• Provide leadership to less experienced staff through mentoring and training
• Complete daily productivity data for performance statistics and assist Customer Service Representatives with processing questions

Required Qualifications

• High School Diploma or GED
• 5 years of claims experience required
• Preferred: 5 or more years in claims processing, billing, or medical terminology
• Knowledge of insurance concepts and claims systems
• Ability to apply information read to process claims effectively