Associate Claims Processor
New
USFull-TimeEntry
Salary18 - 21.99 USD per hour
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Job Details
- Experience
- 0–1 year
- Required Skills
- Analytical SkillsAttention to detailData entry
Requirements
- High school diploma or GED required.
- 0–1 year of experience in claims processing, administrative, or clerical roles preferred.
- Basic understanding of administrative systems, records management, and data entry processes.
- Ability to interpret guidelines and apply structured rules to decision-making tasks.
- Strong numerical and analytical skills for basic claim calculations and adjudication.
- Proficiency in using multiple computer systems simultaneously.
- Strong attention to detail with the ability to follow instructions accurately.
- Good organizational and time management skills to meet production targets.
Responsibilities
- Receive, review, and process claims by entering and verifying data for completeness and accuracy.
- Evaluate claim details against benefits, eligibility, and historical records to determine appropriate payment, denial, or correction actions.
- Resolve claim edits and discrepancies by applying established policies and procedures.
- Navigate multiple systems to verify information and ensure accurate claim adjudication.
- Escalate complex or unresolved issues to supervisory staff when necessary.
- Maintain production, quality, and timeliness standards for all assigned work.
- Participate in required training sessions and apply updated procedures in daily work.
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