Claims Processor

A company is looking for a Claims Processor I (Remote).

Key Responsibilities

Reviews and adjudicates paper / electronic claims, ensuring compliance with organizational policies and procedures

Researches and resolves non-adjudicated claims, calculating deductibles and maximums while ensuring timely payments

Collaborates with multiple departments to provide feedback and resolve basic processing questions

Required Qualifications

High School Diploma or GED

Less than one year of experience processing claim documents

Preferred experience in claims processing, billing, or medical terminology

Demonstrated analytical skills and ability to navigate computer applications

Basic written / oral communication skills