Medical Claims Processor

Job Summary

A company is looking for a Medical Claims Support I.

Key Responsibilities

• Investigate and process claim adjustments for medical lines of business and COB claims
• Analyze and resolve claims issues, ensuring compliance with company and regulatory standards
• Assist with customer service inquiries and provide support for claims processing as needed

Required Qualifications

• High School diploma or equivalent
• Minimum of 6 months experience in medical claim processing or customer service
• At least 12 months experience as a Processor I or equivalent work experience
• Proficiency in claims processing systems, including Facets, Word, and Excel
• Ability to maintain confidentiality and demonstrate professional work habits