Insurance Claims Processor
Now hiring Claims Representatives for a large healthcare company in Cerritos
Location: Cerritos; zip code 90703
Working Hours: Monday-Friday 8:00am-5:00pm
Duration: 6 months temp to perm assignment
-Responsible for keying, processing and/or adjusting health claims in accordance with claims policies and procedures.
- Works without significant guidance w/ basic understanding of multiple products (HMO, PPO, COB, etc.). -Must be able to successfully perform all the duties of the Claims Rep I.
-Primary duties may include, but are not limited to: Able to handle more complex claims.
-Good understanding of the application of benefit contracts, pricing, processing, policies, procedures, gov't regs, coordination of benefits, & healthcare terminology.
-Good working knowledge of claims and products, including the grievance and/or re-consideration process.
-Excellent knowledge of the various operations of the organization, products, and services.
-Reviews, analyzes and processes claims/policies related to events to determine extent of company's liability and entitlement. Researches and analyzes claims issues.
-Responds to inquiries, may involve customer/client contact.
Working hours: 8:00 AM - 5:00 PM
-1-3 years of claims processing experience
-Ability to perform comfortably in a fast-paced, deadline-oriented work environment
-Ability to solve problems and analyze complex situations under pressure
-Must be able to work independently and have critical thinking skills
-High School diploma, GED, or equivalent certification
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