Claims Processor

Claims Processors

Are you passionate about making a difference in healthcare and insurance? Do you thrive in a fast-paced environment where your attention to detail and problem-solving skills are key? If so, we want to hear from you!

FedPoint, a leading third-party insurance administrator, is seeking to hire Claims Processors. You'll be at the heart of ensuring that submitted invoices are processed accurately and efficiently. Your mission will be to review, adjudicate, and manage claims with precision, while providing exceptional customer service. You'll work closely with our Care Coordination department to manage annual claims payments, ensuring everything is handled with the utmost accuracy and integrity.

Key Responsibilities:

Claim Analysis & Adjudication (80%):

• Scrutinize invoices to ensure they are complete and accurate.
• Collaborate with claimants, providers, and internal teams to resolve issues and make decisions based on established policies.
• Enter data meticulously into our claims processing systems.

Communication & Correspondence (10%):

• Engage with internal teams and providers to clarify and resolve claim issues.
• Draft clear and professional communications to claimants.
• Assist in addressing customer complaints with empathy and efficiency.

Risk Management (10%):

• Identify and investigate potential fraud or abuse.
• Report and track red flags to ensure compliance and proper adjudication.

What to Expect on Pay:

The salary range for this role is $20.86– $28.22 per hour. We've shared the full range to stay transparent — but most new hires join us between the minimum and the midpoint, depending on skills and experience.

Final compensation is based on a mix of factors including qualifications, experience, and education, as well as internal equity and budget considerations.

What We're Looking For:

• High School education required.
• Experience processing claims in a healthcare, disability, dental, or long term care environment OR insurance operations experience preferred.
• Demonstrated computer proficiency which includes strong keyboard and navigation skills.

Location: Portsmouth, NH - HYBRID 2 days in office

Full-Time Position 40 hours/week

Training hours 9-5pm flexible schedules may be selected after training is completed.

About FedPoint

FedPoint creates and operates digital benefits marketplaces that make it easy for our millions of federal and military customers to understand, select, and use their benefits. A subsidiary of John Hancock Life & Health Insurance Company, FedPoint was founded in 2002 and is headquartered in Portsmouth, NH. To learn more, visit fedpointusa.com.

Why Join Us?

At FedPoint, our mission is to create and deliver world-class benefits experiences for our customers, clients, and business partners.

We offer a dynamic work environment where innovation and collaboration are encouraged. You'll have the opportunity to make a significant impact while honing your skills and advancing your career.

In addition to working for a company with great people and an excellent reputation, what's in it for you?

• Generous 401k plan: 100% match of employee's contribution, up to a maximum of 6% salary, vests immediately.
• Bonus Opportunity: Qualifying employees can earn an annual bonus based on company metrics and personal performance.
• Lots of paid time off: 3 weeks' vacation, 7 sick days, 3 personal days, and 12 paid holidays!
• Competitive benefits include health, dental, vision, disability, life, legal, flexible spending account (FSA) and Health Savings Account (HSA) options.
• 6 weeks fully-paid parental leave
• Tuition reimbursement program to support career goals.
• Corporate giving and matching gifts program.
• Volunteer program: Paid time off to volunteer and company-organized volunteering opportunities.
• A wide variety of personal, professional, and career development programs.
• Comprehensive wellness program offering a variety of resources and activities to help support your well-being in the following areas: career, financial, mental, emotional, physical, social and community.

All offers of employment with FedPoint are conditional upon satisfactory completion of a pre-employment background check. FedPoint is an equal opportunity employer as to all protected groups under applicable federal, state and local laws, including protected veterans and individuals with disabilities. If you believe you need a reasonable accommodation in order to search for a job opening or to submit an online application, please call View phone number on click.appcast.io. Equal Employment Opportunity (EEO) Poster Family and Medical Leave Act (FMLA) Poster Employee Polygraph Protection Act Poster