Job Details

Claims Processor

Our client, a IT Services and Consulting company, is looking for a Claims Processor for their Remote location.

Responsibilities:

• Analyze medical claims and supporting documentation to determine eligibility and payment amounts based on provided SOPs.
• Conduct thorough evaluations of claims to assess legitimacy while meeting monthly production and quality targets.
• Record Keeping: Maintain detailed records of claims processed, decisions made, and communications with claimants for auditing purposes, and report daily results to the lead at the end of each day without fail.

Requirements:

• Years of Experience: 3.00 Years of Experience

Skills:

• Category Name Required Importance Experience
• Healthcare Claims Yes 1

Why Should You Apply?

• Health Benefits
• Referral Program
• Excellent growth and advancement opportunities