Insurance Jobs | Claims Processor Remote Jobs Apply Now 2022

By | April 13, 2022

Job Responsibilities : Claims Processor – REMOTE

Salary : $16 per hour

Company : Highmark Inc.

Location : Remote US

Educational requirements : High School

Responsbilities

  • 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.

Skills

  • 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.

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