Medical Claims Processor
Job Summary
Investigating and processing COB (Coordination of Benefits) claims, the full-time Medical Claims Processor will assist with customer service inquiries and ensure timely claims processing while working from home.
Key responsibilities:
- Communicate with claimants, policyholders, providers, and other insurance carriers to resolve claims
- Analyze and apply plan concepts to claims, ensuring compliance with regulations and company standards
- Document actions and maintain confidentiality while monitoring and maintaining unit inventory
Required qualifications:
- High School diploma or equivalent
- Minimum of 6 months experience in medical claim processing or customer service
- 10-key proficiency of 135 spm and typing speed of at least 35 wpm
- Proficiency in claims processing systems, including Facets, Word, and Excel
- Knowledge of administrative policies affecting claims and customer service
Complete Job Description
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