Claims Adjuster

Claims Adjuster

Lumen Solutions Group Inc. is a technology consulting Services company based in Florida. We provide a wide array of experienced business and IT professionals supporting clients from solution design to implementation and support. We specialize in professional IT consulting services, IT Staffing, Business/IT Strategy, Business Process Blueprints, Enterprise Architecture, Enterprise Transformation.

Role: Claims Adjuster

Location: Baltimore, MD

Type: Contract

About the Role: Investigate and perform adjustment of claims and ensure that claims are handled properly within authority limits, and in line with standard procedures and guidelines. Verifies insurance claims by reviewing claims requirements; examining documentation and calculations; highlighting and summarizing out-of-line situations; recommending changes in operating processes; completing reports, logs, and audit records.

Qualifications:

• Medical Claims processing experience.
• Medical Claims Adjustment experience.
• Medical Terminology, Provider Refund.
• Subrogation, Workers Comp.
• Disbursements.

Preferred Qualifications:

• Ability to analyze information gathered from investigation.
• Excellent communication skills both written and verbal.
• Ability to recognize, analyze, and solve a variety of problems.
• Skill in completing assignments accurately with attention to detail.

Lumen Solutions Group Inc is an equal opportunity employer. All qualified applicants will be considered for employment without regard to any legally protected status.