Claims Processor

Job Summary

Working remotely, the full-time Claims Processor will review, validate, and process healthcare claims while ensuring compliance with client policies and regulatory requirements.

Key responsibilities:

• Review and process healthcare claims, verifying member, provider, and claim information
• Research claim issues such as denials and duplicates, documenting actions in claims processing platforms
• Collaborate with internal teams to resolve claims-related issues and support adjustments as needed

Required qualifications:

• Preferred college graduate or completion of two years of college education
• Minimum of one year of experience in healthcare, claims processing, or related fields
• Knowledge of healthcare claims, benefits, and insurance terminology is preferred
• Strong data entry and analytical skills, with proficiency in Microsoft Office applications
• High attention to detail and ability to meet productivity and quality goals