Job Responsibilities : Claims Processor – REMOTE
Salary : $16 per hour
Company : Highmark Inc.
Location : Remote US
Educational requirements : High School
- Determine if claim information is complete and correct. Enter/verify claims data.
- Resolve claim edits review history records and determine benefit eligibility for service. Review payment levels to arrive at final payment determination.
- Meets all production and quality standards. Attends all required training classes.
- Elevates issues to next level of supervision as appropriate.
- Maintains accurate records including timekeeping records.
- Other duties as assigned or requested.
- Ability to take direction and to navigate through multiple systems simultaneously.
- Knowledge of administrative and clerical procedures and systems such as word processing and managing files and records.
- Ability to use mathematics to adjudicate claims.
- Ability to solve problems within pre-defined methods and guidelines.
- Knowledge of operating systems specific to claim processing.