Job Summary
A systems integration company is in need of a Remote Claims Adjudicator in Tampa.
Candidates will be responsible for the following:
- Reviewing and researching insurance claims to determine possible payment accuracy
- Validating Member, Provider and other Claims information
- Determining accurate payment criteria for clearing pending claims
Qualifications for this position include:
- 1+ years of Claims Adjudication experience that required you to review claims rules and workflows
- 1+ years of experience processing claims
- 1+ years of experience that required a knowledge of healthcare insurance policy concepts
- Excellent communication skills
