Claims Processor

Responsible for the accurate and timely review, research, and resolution of moderately complex claims, the full-time Claims Processor II will work remotely to ensure compliance with contracts and policies, including tasks related to subrogation, Medicare, and coordination of benefits. Key responsibilities Review, process, and resolve moderately complex claims in accordance with contracts and policies Utilize reference materials and online tools to research claims and maintain appropriate claims files Accurately code claims and ensure follow-up on pending claims to meet productivity and accuracy goals Required qualifications High School diploma or GED Six (6) months of claims processing or customer service experience Experience with out-of-area programs (preferred) Technical knowledge of contract benefits and claims processing steps (preferred)