Healthcare Claims Adjuster

Job Summary

A company is looking for a Healthcare Insurance Claims Adjuster.

Key Responsibilities:

• Investigate and adjust claims to ensure compliance with policies and procedures
• Update claims audit records by entering, verifying, and securing data
• Settle standard/complex claims through payment or denial

Qualifications:

• High School Diploma or GED required
• Minimum 5 years of claims experience with a comprehensive understanding of related systems, policies, and procedures
• Experience with Inter-Plan Teleprocessing System (ITS) Claims preferred