Review, analyze, and process complex self-funded medical claims from start to finish.
Utilize the WLT system daily to adjudicate claims, ensuring all coding, billing, and pricing rules are applied correctly.
Verify patient eligibility, benefit limits, and plan coverage exclusions based on specific self-funded plan documents.
Identify and investigate claims requiring additional information, such as coordination of benefits (COB), subrogation, or medical necessity reviews.
Maintain strict compliance with all federal and state regulations, including HIPAA and ERISA guidelines.
Meet or exceed established quality accuracy and production turnaround standards.
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About Trident
Trident transforms ordinary packaging into extraordinary brand experiences. They are a global provider of graphics production and pre-media services, ensuring brand and packaging visions are seamlessly interpreted across all physical and digital media. With over 500 employees in 13 locations globally, Trident partners with well-known brands like Unilever, Colgate, P&G, and RB. They offer pre-press and digital services, including artwork, repro, design adaptation, CGI, animation, and e-commerce imagery. Trident's solutions help clients enhance their products and drive business growth through precision color matching, consistent quality, and rapid turnaround times.
How We Work
Trident fosters a culture of openness, trust, and continuous growth. They value honesty, integrity, and teamwork. The company provides a fast-paced environment with varied opportunities for professional development, while also respecting personal life and ensuring a well-rounded work experience. Trident is committed to creating long-term, enriching relationships within its "work family." They encourage a proactive approach to work and aim for high employee satisfaction.
Why Join Us
You will work with leading international consumer brands, shaping their visual identity across various media.
You can drive innovation in packaging and pre-media, utilizing cutting-edge technologies.
You will be part of a global team that values collaboration, continuous learning, and individual growth.
You will contribute to solutions that enhance product protection, performance, and sustainability.
Benefits & Perks
Competitive monthly salary of $900-$1500 (depending on role).