Insurance Claims Processor
Randstad is seeking Claims Processor to join a large health services organization in the Visalia, CA area. Please take a look at the qualifications below and if interested please contact me immediately with your resumes at Hailey.email@example.com
Examines and processes paper claims and/or electronic claims
Determines whether to return, pend, deny or pay claims within policies
Determines steps necessary for adjudication
Follows established departmental policies and procedures, operating memos and corporate policies to resolve claims and claims issues
Settles claims with claimants in accordance with policy provisions
Compares claim application and/or provider statement with policy file and other records to evaluate completeness and validity of claims
Interacts with agents and claimants by mail or phone to correct claim form errors or omissions and to investigate questionable entries
Typically responsible for independently reviewing moderately complex claims
Working hours: 8 AM - 5 PM
Data entry skills
Claims processing experience
Ability to handle multiple tasks.
Bilingual is a plus!
Typically has 2-5 years of experience processing and adjudicating claims.
High school Diploma or equivalent required
Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
San Francisco Fair Chance Ordinance:
Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance.