Claims Processor

Our client is seeking a Senior Claims Processor to support a longstanding benefits organization. This role supports U.S. Benefits, a small, experienced claims processing team within a multiemployer trust environment. This position is open due to upcoming retirements of senior claims processors and will play a key role in claims processing, auditing, adjudication logic, and knowledge transfer. The ideal candidate has strong medical and/or dental claims experience and is comfortable working in a lowervolume, highaccuracy environment.

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Required Skills & Experience
• 5+ years of medical and/or dental claims processing experience
• Strong knowledge of claims adjudication logic and appeals
• Experience auditing claims and ensuring compliance
• Familiarity with claims processing systems and configuration tools
• Experience handling customer inquiries via phone and email
• High attention to detail and ability to work independently
• Comfortable working in a small team environment


Nice to Have Skills & Experience
• Experience with reporting and data analysis related to claims
• Coding or system configuration experience
• Background in multiemployer trusts or benefits administration
Experience supporting process improvement initiatives


Benefit packages for this role will start on the 1st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.