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Medical Claims Representative $23.50/HR

$23.5 per hour

TEKsystems

*IMMEDIATE OPENING FOR MEDICAL CLAIMS REPRESENTATIVE *
*OPPORTUNITY TO WORK FOR ONE OF THE LARGEST INSURANCE CARRIERS IN THE AREA*
*FULL TIME OPPORTUNITY WITH ROOM FOR AVANCEMENT *
*MONDAY - FRIDAY 8AM-5PM *
*WHITE PLAINS, NY (ON SITE ONLY)*
*$21-$24/HR *
*Qualifications: *
2 years of medical claims experience
Experience working with denied claims
*Responsibilities: *

* Review and adjudicate all types of claims designated as "production claims", meeting production and quality goals.
* Review, investigate, and apply all necessary criteria to determine validity of claim.
* Apply benefit plan rules and processing guidelines to pay, pend, or deny claims.
* Review and determine eligibility and coverage for specific group/plan.
* Research claim problems and take necessary actions to resolve.
* Utilize training and on-line documentation to keep up to date on processing guidelines, insurance principles, DOL rules and regulations, and benefit plan rules.
* Utilize Claim Workflow system for work assignments, routing, and follow up.


*Job Type & Location*This is a Contract to Hire position based out of White Plains, NY.
*Pay and Benefits*The pay range for this position is $23.50 - $23.50/hr.
Eligibility requirements apply to some benefits and may depend on your job
classification and length of employment. Benefits are subject to change and may be
subject to specific elections, plan, or program terms. If eligible, the benefits
available for this temporary role may include the following:

* Medical, dental & vision


* Critical Illness, Accident, and Hospital


* 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available


* Life Insurance (Voluntary Life & AD&D for the employee and dependents)


* Short and long-term disability


* Health Spending Account (HSA)


* Transportation benefits


* Employee Assistance Program


* Time Off/Leave (PTO, Vacation or Sick Leave)
*Workplace Type*This is a fully onsite position in White Plains,NY.
*Application Deadline*This position is anticipated to close on May 28, 2026.

About TEKsystems


We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services


We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

*San Francisco Fair Chance Ordinance:* Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

*Massachusetts Lie Detector:* It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

*Use of Artificial Intelligence (AI):* We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.
Vacancy posted 1 day ago
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