Insurance Claims Processor

  • location: Cerritos, CA
  • type: Temp to Perm
  • salary: $19 per hour
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job description

Insurance Claims Processor

Now hiring Claims Representatives for a large healthcare company in Cerritos

Pay: $19
Location: Cerritos; zip code 90703
Working Hours: Monday-Friday 8:00am-5:00pm
Duration: 6 months temp to perm assignment

Responsibilities:
-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

Skills:
-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

Qualifications:
-High School diploma, GED, or equivalent certification

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.

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