Claims Processor 2
4 days ago
Zenith American Solutions is seeking a dedicated and energetic Claims Processor 2 to join our team.
Job SummaryThe 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.
- 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.
- 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.
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