Claims Processor

A company is looking for a Claims Processor II to review and adjudicate complex claims.

Key Responsibilities

Examine and process complex or specialty claims according to regulations and internal standards

Ensure claims are processed according to quality and production standards, correcting errors as needed

Research and resolve claims issues, utilizing policies and coordinating with internal support areas

Required Qualifications, Training, and Education

High School Diploma or equivalent

2 years of experience in processing, researching, and adjudicating claims

Strong organizational, analytical, and judgment skills

Proficiency in Microsoft Office

Ability to handle confidential or sensitive information with discretion