Job Description:

• Attendance during the 21 week training period is required.
• Determine and understand the coverage provided under a member's health plan
• Efficiently use multiple systems and screens to obtain and record claim information
• Review claims information to determine the nature of a member's illness or injury
• Identify claim cost management opportunities and refer claims for follow up
• Make claim payment decisions
• Process claims accurately to enhance customer satisfaction and retention
• Process claims within quality and production standards
• Assist team members in support of achieving team, office, regional, and national goals

Requirements:

• Experience in a quality and production environment.
• Attention to detail.
• Ability to use multiple computer applications at one time.
• Claim processing experience.
• Ability to multi-task
• Ability to work independently or as part of a group
• Associate’s Degree

Benefits:

• medical, dental, and vision coverage
• paid time off
• retirement savings options
• wellness programs
• other resources, based on eligibility