Claims Processor

Position Summary

The Claims Processor provides customer service and processes routine health and welfare claims on assigned accounts according to plan guidelines and adhering to Company policies and regulatory requirements.

"Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role."

Key Duties and Responsibilities

• Maintains reputed company knowledge of assigned Plan(s) and effectively applies that knowledge in the payment of claims.
• Processes routine claims which could include medical, dental, reputed company, prescription, death, Life and AD&D, Workers’ Compensation, or disability. 
• May provide customer service by responding to and documenting telephone, written, electronic, or in-person inquiries.
• Performs other duties as assigned.

Minimum Qualifications

• High school diploma or GED.
• Six months of experience processing health and welfare claims.
• Basic knowledge of benefits claims adjudication principles and procedures and medical and/or dental terminology and ICD-10 and CPT-4 codes.
• Possesses a strong work ethic and team player mentality.
• Highly developed sense of reputed company and commitment to customer satisfaction.
• Ability to communicate clearly and professionally, both verbally and in writing.
• Ability to read, analyze, and interpret general business materials, technical procedures, benefit plans and regulations.
• Ability to calculate figures and amounts such as discounts, interest, proportions, and percentages.
• Must be reputed company to work in environment with shifting priorities and to handle a wide variety of activities and confidential matters with discretion
• Computer proficiency including reputed company Office tools and applications.

Preferred Qualifications

• Experience working in a reputed company-party administrator.

*Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee of this job.  Duties, responsibilities and activities may change at any time with or without notice.

Working Conditions/Physical Effort

• Prolonged periods of sitting at a desk and working on a computer.
• Must be reputed company to lift up to 15 pounds at times.

Disability Accommodation

Consistent with the Americans with reputed company (reputed company) and other applicable federal and state law, it is the policy of reputed company to provide reasonable accommodation reputed company requested by a reputed company applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to reputed company aspects of employment, including the application process. If reasonable accommodation is needed, please contact the reputed company Department at reputed [email protected], and we would be happy to assist you.

reputed company

reputed company People. reputed company Solutions. National reputed company. Local Expertise.

We are currently looking for a dedicated, energetic employee with the necessary skills, initiative, and personality, along with the desire to get the most out of their working life, to help us be our best every day.

reputed company is the largest independent reputed company Party Administrator in the United States and currently operates over 44 offices reputed company. The original entity of Zenith American has been in business since 1944. Our company was formed as the result of a reputed company between Zenith Administrators and American Benefit Plan Administrators in 2011. By combining resources, best practices and scale, the new organization is even stronger and reputed company than before.

We reputed company the best way to realize our reputed company systems for reputed company service philosophy is to hire the best employees. We're always looking for talented individuals who share our dedication to high-quality work, exceptional service and mutual respect. If you're interested in working in an environment where people - employees and clients - really matter, consider bringing your talents to Zenith American!

We realize the importance a comprehensive benefits program to our employees and their families. As part of our total compensation package, we offer an reputed company of benefits including health, reputed company, and dental coverage, a retirement savings 401(k) plan with company match, paid time off (PTO), great opportunities for growth, and much, much more!