Claims Coordination Investigator

Job Summary

Investigating insurance information to coordinate benefits for claim processing, the full-time Claims Coordination Investigator will manage member communications and ensure accurate claims adjudication in a remote, in-person, or hybrid work environment.

Key responsibilities

• Investigate other insurance information and coordinate benefits for claims processing
• Directly contact members and health plans to obtain and verify insurance information
• Process claims and resolve COB primacy disputes while adhering to quality improvement principles

Required qualifications

• High school diploma or equivalency
• Three years of medical claims processing experience in an office setting or one year at Quartz meeting quality and quantity goals
• Access to high-speed, non-satellite Internet for remote work