Insurance Jobs | Claims Processor Remote Jobs Apply Now 2022

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.