Claims Processor 2

4 days ago


San Francisco, California, United States Zenith American Full time
Job Title: Claims Processor 2

Zenith American Solutions is seeking a dedicated and energetic Claims Processor 2 to join our team.

Job Summary

The Claims Processor 2 provides customer service and processes routine health and welfare claims on assigned accounts according to plan guidelines and adhering to Company policies and regulatory requirements.

Key Responsibilities
  • Maintains current knowledge of assigned Plan(s) and effectively applies that knowledge in the payment of claims.
  • Processes routine claims which could include medical, dental, vision, prescription, death, Life and AD&D, Workers' Compensation, or disability.
  • May provide customer service by responding to and documenting telephone, written, electronic, or in-person inquiries.
  • Performs other duties as assigned.
Requirements
  • High school diploma or GED.
  • One year of experience as Level 1 Claims Processor.
  • Intermediate knowledge of benefits claims adjudication principles and procedures and medical and/or dental terminology and ICD-10 and CPT-4 codes.
  • Possesses a strong work ethic and team player mentality.
  • Highly developed sense of integrity and commitment to customer satisfaction.
  • Ability to communicate clearly and professionally, both verbally and in writing.
  • Ability to read, analyze, and interpret general business materials, technical procedures, benefit plans and regulations.
  • Ability to calculate figures and amounts such as discounts, interest, proportions, and percentages.
  • Must be able to work in environment with shifting priorities and to handle a wide variety of activities and confidential matters with discretion.
  • Computer proficiency including Microsoft Office tools and applications.
Preferred Qualifications
  • Experience working in a third-party administrator.

Zenith American Solutions is a leading provider of third-party administration services, with a strong commitment to customer satisfaction and excellence in service delivery.

We are looking for a talented and motivated individual to join our team as a Claims Processor 2.

If you are a detail-oriented and organized individual with excellent communication skills, we encourage you to apply for this exciting opportunity.


  • Claims Processor 2

    2 weeks ago


    San Francisco, California, United States Zenith American Full time

    Job SummaryZenith American Solutions is seeking a dedicated Claims Processor 2 to provide exceptional customer service and process routine health and welfare claims. The ideal candidate will possess strong analytical skills, attention to detail, and excellent communication abilities.Key Responsibilities:Process claims in accordance with plan guidelines and...

  • Claims Processor

    1 month ago


    San Francisco, California, United States Zenith American Full time

    Job Title: Claims ProcessorWe are seeking a highly skilled and detail-oriented Claims Processor to join our team at Zenith American Solutions.Job Summary:The Claims Processor will be responsible for providing exceptional customer service and processing routine health and welfare claims in accordance with plan guidelines and company policies.Key...

  • Claims Processor

    2 weeks ago


    San Francisco, California, United States Zenith American Full time

    Job SummaryZenith American Solutions is seeking a dedicated Claims Processor 1 to join our team. As a Claims Processor 1, you will be responsible for providing customer service and processing routine health and welfare claims on assigned accounts according to plan guidelines and adhering to Company policies and regulatory requirements.Key...

  • Claims Processor

    4 days ago


    San Francisco, California, United States Zenith American Full time

    Job SummaryThe Claims Processor provides customer service and processes routine health and welfare claims on assigned accounts according to plan guidelines and adhering to Company policies and regulatory requirements.Key ResponsibilitiesMaintains current knowledge of assigned Plan(s) and effectively applies that knowledge in the payment of claims.Processes...


  • San Francisco, California, United States Staffing Data Services Agency Full time

    About the JobWe are seeking a skilled Data Entry Claims Intake Processor to join our team at Staffing Data Services Agency. As a Part-Time (34 hours/week) Data Entry Claims Intake Processor, you will be responsible for accurately entering data from insurance claims and/or authorization requests submitted by health care providers.Key ResponsibilitiesEnter...

  • Claims Processor

    4 weeks ago


    San Bernardino, California, United States County of San Bernardino California Full time

    Job SummaryThe County of San Bernardino California is seeking a skilled Claims Assistant to support the Department of Risk Management in handling complex Workers' Compensation cases.Key ResponsibilitiesObtain and document disability status and return to work datesProcess and evaluate claims for accuracy and completenessCollaborate with Workers' Compensation...


  • San Francisco, California, United States American Family Insurance Full time

    Join Our Team as a Property Field Claims AdjusterWe're seeking a skilled Property Field Claims Adjuster to join our team at American Family Insurance Claims Services, Inc. As a key member of our claims team, you'll play a critical role in investigating and resolving property claims in a fair and timely manner.Key Responsibilities:Investigate and analyze...

  • Banking Processor

    1 month ago


    San Diego, California, United States ConAm Management Corporation Full time

    Job Title: Banking ProcessorWe are seeking a highly skilled Banking Processor to join our team at ConAm Management Corporation. As a key member of our accounting department, you will be responsible for providing accurate and timely banking support to our corporate, regional, and community personnel.Key Responsibilities:Collect and process payroll, management...

  • SBA Loan Processor

    1 month ago


    San Diego, California, United States Enterprise Bank & Trust Full time

    Job Title: SBA Loan ProcessorEnterprise Bank & Trust is a leading financial institution dedicated to supporting the growth and success of businesses in our communities. We are seeking a highly skilled SBA Loan Processor to join our team.Job Summary:The SBA Loan Processor will be responsible for processing and closing SBA 7(a) and 504 loans in a timely and...

  • Claims Supervisor

    2 weeks ago


    San Jose, California, United States AssuredPartners Full time

    Job Title: Claims SupervisorJob Summary:We are seeking an experienced Claims Supervisor to join our team. The successful candidate will be responsible for overseeing the claims department, ensuring client needs are met, and managing claims in accordance with company policies and procedures.Key Responsibilities:Maintain high client retention and...


  • San Francisco, California, United States MedRisk Full time

    Job SummaryThe QA Team at MedRisk is responsible for auditing critical fields on all provider HCFAs & UBs against re-priced MedRisk Generated EOBs or MedRisk Generated HCFAS before mailing. Our team observes trends, identifies key systematic issues, and offers above-standard quality on all bills before they are mailed. We confirm the accuracy of billing...


  • San Diego, California, United States Guild Mortgage Full time

    Job SummaryGuild Mortgage Company is seeking a highly skilled Mortgage Loan Processor III to join our team. As a key member of our mortgage banking team, you will be responsible for processing and pre-underwriting conventional, FHA, VA, and Bond mortgage loans to ensure compliance with company, secondary market investor, and government agency standards.Key...


  • San Diego, California, United States USAA Full time

    About the RoleUSAA is seeking a highly skilled Property Adjuster Specialist to join our team. As a dedicated member of our claims team, you will play a critical role in investigating, evaluating, negotiating, and settling complex property insurance claims presented by or against our members.Key ResponsibilitiesProactively manage assigned claims caseload...


  • San Diego, California, United States Guild Mortgage Full time

    Job SummaryWe are seeking a highly skilled Loss Mitigation Claims Specialist to join our team at Guild Mortgage Company. As a key member of our Loss Mitigation team, you will play a critical role in ensuring timely, accurate, and compliant processing of post-loss mitigation workouts.Key ResponsibilitiesMonitor filed claims to ensure acceptance and...


  • San Jose, California, United States Guild Mortgage Full time

    Job SummaryGuild Mortgage Company is seeking a highly skilled Loss Mitigation Specialist, Claims to join our team. As a key member of our Loss Mitigation department, you will play a critical role in ensuring timely, accurate, and compliant processing of post-loss mitigation workouts.Key Responsibilities:Monitor and review filed claims to ensure acceptance...


  • San Francisco, California, United States OneMain Financial Full time

    Customer Service Specialist RoleAs a key member of our team, you will be the primary point of contact for customers, providing exceptional service and support. Your responsibilities will include:Responding to customer inquiries and resolving issues in a timely and professional manner.Assisting with account information, insurance claims, and credit reporting...


  • San Jose, California, United States Alacrity Solutions Full time

    Job OverviewAlacrity Solutions is seeking a skilled Daily Property Field Adjuster to provide exceptional claim handling services for our clients. As an independent contractor, you will be responsible for handling daily claim work within your designated area, which may include multiple perils.Key ResponsibilitiesProvide excellent claim handling services for...

  • AR Associate

    1 week ago


    San Diego, California, United States Cortica Full time

    Job SummaryWe are seeking an experienced AR Associate to join our team in resolving claims and ensuring seamless reimbursement processes for our patients. As an AR Associate, you will be responsible for resolving claims on hold due to denials or coding errors, using problem-solving skills to research and resolve discrepancies, denials, appeals, and...

  • AR Associate

    1 week ago


    San Diego, California, United States Cortica Full time

    AR Associate Job DescriptionCortica is seeking an experienced AR Associate to join our growing team. As an AR Associate, you will be responsible for resolving claims on hold due to denials or coding errors. You will use problem-solving skills to research and resolve discrepancies, denials, appeals, and collections. You will also write clear and concise...


  • San Bernardino, California, United States Philips Full time

    About the RoleWe are seeking a highly skilled Biomedical Equipment Technician 2 to join our team at Philips. As a Biomedical Equipment Technician 2, you will be responsible for providing technical support and maintenance for medical equipment at customer sites in the Loma Linda, CA area.Key ResponsibilitiesPerform preventative maintenance and service repair...