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Claims Adjuster
Swoon Staffing (A fortune 500 client of ours)Los Angeles, CA, US16 hours ago
Job type
- Permanent
Job descriptionAnswer an average of 45 inbound calls daily regarding claims, eligibility, and benefits. Assist providers and members with claim status, billing protocols, and contract-related inquiries. Process requests such as claim reprocessing, duplicate EOBs, or payment reissues. Update provider demographic information and submit escalations when necessary. Document and resolve inquiries accurately, ensuring compliance and first-call resolution. Make occasional outbound calls to follow up on claim or provider relation issues. Bachelor’s degree required . Prior experience in customer service (insurance industry strongly preferred). Strong interpersonal and communication skills (written and verbal). Ability to multitask while using multiple applications. Strong organizational skills and attention to detail. Technical proficiency with PC systems and applications. Come get Swoon’d!! Swoon handles the staffing need of over 80 Fortune 500 clients. We have won Best and Brightest Companies to Work for in the Nation Award 6 years in a row. Come get Swoon’d!!\r\n\t Swoon handles the staffing need of over 80 Fortune 500 clients.\r\n\t We have won Best and Brightest Companies to Work for in the Nation Award 6 years in a row.\r\nSwoon was also awarded the Inc. 5000 Fastest Growing Private Companies in the US from 2016 – 2020.
Job Description
Job Description
- Location : Remote
- Duration : 5 Months (Contract to Hire)
- Pay Rate : $21 / h
About the Role
We are seeking Claims Adjuster to join our remote team supporting Cigna / Evernorth. This is an excellent opportunity for individuals with strong customer service and insurance experience who are interested in transitioning to a permanent role.
You will handle inbound calls from providers and members, primarily regarding claims, eligibility, and benefits. This role requires excellent communication, problem-solving, and multitasking skills, as well as the ability to navigate multiple systems while delivering first-call resolution and professional customer service.
Key Responsibilities
Qualifications
Must have reliable high-speed internet at home (equipment will be provided).
Company Description
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Swoon was also awarded the Inc. 5000 Fastest Growing Private Companies in the US from 2016 – 2020.
Company Description
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Adjuster • Los Angeles, CA, US
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