Claims Processing Representative I

Job Summary

A company is looking for a Claims Processing Representative I.

Key Responsibilities:

• Processing and adjudicating commercial paper claims
• Maintaining integrity of claims receipts in accordance with standard claims operating and adjudication procedures
• Accurately resolving pending claims using state and federal regulations and specific health plan criteria

Required Qualifications:

• 1+ year of claims experience (medical or dental claims experience will be considered)
• 1+ year of experience with Microsoft Word, Excel, and Outlook software
• High School Diploma or GED required