Claims Processor II

Job Summary

A company is looking for a Claims Processor II to review and adjudicate complex claims while assisting in training new staff.

Key Responsibilities

• Examine and process complex or specialty claims according to regulations and internal standards
• Ensure claims are processed according to quality standards and correct processing errors as needed
• Research and resolve claims edits and deferrals, coordinating with internal support areas

Required Qualifications

• High School Diploma or equivalent
• 2 years of experience processing, researching, and adjudicating claims
• Proficient in Microsoft Office
• Strong organizational and analytical skills
• Ability to handle confidential information with discretion