Claims Processor

4 months ago


Hampton, United States TEKsystems Full time

Description: WPS is hiring Claims Resolution Specialists for a contract that is supporting Humana Tricare. WPS processes all of Humana Tricare claims - which is the insurance available for active duty military, veterans and their family. The claims resolution department handles all Tricare claims that come through that don’t "process cleanly." A lot of claims are processed automatically if they are 100% correct. The claims resolution team will review all of the claims that are not automatically processed due to something being off (wonky) or needing more information. Skills: Claims processing, Health insurance Top Skills Details: Claims processing, Health insurance Additional Skills & Qualifications: Ability to research on their own to figure a process out - examples: they have training manuals that outline how to handle specific claims and they except their claims reps to research this to try and figure it out on their own Strong computer skills - both data entry and navigation Ideally I want candidates with claims processing experience; however, they will take candidates with no experience - bartenders, servers have worked out well as long as they are technologically savvy Experience Level: Intermediate Level About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.