Claims Adjudicator

Job Summary

A company is looking for a Claims Adjudicator responsible for processing claims accurately and timely while meeting quality and productivity standards.

Key Responsibilities

• Provide general claims support by reviewing, researching, investigating, processing, and adjusting claims
• Identify trends and report to Supervisor as necessary
• Review and analyze data from system-generated reports to resolve errors prior to final adjudication

Required Qualifications

• High School Diploma / GED (or higher) required; Associate degree or some college coursework preferred
• 2+ years of administrative experience preferred
• 1+ years of experience processing medical, dental, or prescription claims preferred
• Experience with Facets system is desirable
• Familiarity with UB04's and CMS 1500's is a plus