Claims Adjudicator

Job Summary

Claims Adjudicator provides full-time support for provider claims adjudication activities, including resolving claim issues and collaborating with various teams to ensure appropriate claim resolutions.

Key Responsibilities

• Support resolution of provider claims issues and analyze systems for effective collaboration
• Respond to incoming provider calls regarding claims inquiries and document all interactions
• Adjudicate or readjudicate high volumes of claims while meeting quality and production standards

Required Qualifications

• At least 2 years of experience in a clerical role within claims or customer service settings
• Experience in provider claims investigation, research, and resolution
• Strong organizational and time-management skills
• Customer service experience
• Proficiency in Microsoft Office suite and applicable software programs