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Claims Coordinator

Spectrum Health

Job Summary This position is production and quality based. Assigned to analyze and adjudicate specific types of claims, with lower complexity, and work with external pricing partners to resolve claim issues. The associate claims coordinator will be expected to achieve monthly measures. Essential Functions Process claims through online adjudication, possibly across all product lines. Utilize Facets, Lens Inquiry Tracking system, and claim procedures to investigate and resolve claim pends and errors. Use provided software and online vendor websites to resolve related issues. Identify system‑related issues impacting claim adjudication. Organize and maintain reference information related to the responsibilities of this position. Meet all production and quality standards. Possess general knowledge of operational functions and software. Qualifications High School Diploma or Equivalent. 1 year of relevant experience. How Corewell Health Cares for You Comprehensive benefits package to meet financial, health, and work/life balance goals. Learn more. On‑demand pay program powered by Payactiv. Discounts directory with deals on restaurants, phone plans, spas, and more. Optional identity theft protection, home and auto insurance, pet insurance. Traditional and Roth retirement options with service contribution and match savings. Eligibility for benefits is determined by employment type and status. Primary Location SITE - 1700 Magnavox Way Suite 201 - Fort Wayne Department Name Physicians Health Plan of Northern Indiana Admin - PH Managed Benefits Employment Type Full time Shift Day (United States of America) Weekly Scheduled Hours 40 Hours of Work 8 to 5 Days Worked Monday to Friday Weekend Frequency N/A Equal Opportunity Statement Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category. #J-18808-Ljbffr

Vacancy posted 1 day ago
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