Ohio Licensed Claims Adjudicator

Job Summary

A company is looking for a Provider Claims Adjudicator.

Key Responsibilities

• Respond to provider inquiries regarding claims issues and provide excellent customer service
• Research and adjudicate claims to ensure compliance with departmental standards
• Collaborate with internal departments to resolve claims issues and support defect reduction initiatives

Required Qualifications

• Associate's Degree or equivalent combination of education and experience
• 2-3 years of customer service, claims, and investigation/research experience
• 1+ years of claims research or issue resolution experience in the managed care industry
• Knowledge of multiple systems related to claims processing
• Preferred: Bachelor's Degree or equivalent combination of education and experience