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Claims Processor
2 months ago
Zenith American Solutions is seeking a dedicated Claims Processor 1 to join our team. As a Claims Processor, 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 Responsibilities- Maintain current knowledge of assigned Plan(s) and effectively apply that knowledge in the payment of claims.
- Process 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.
- Perform other duties as assigned.
- High school diploma or GED.
- Six months of experience processing health and welfare claims.
- Basic 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 benefits administration services. We offer a comprehensive benefits program to our employees and their families, including health, vision, and dental coverage, a retirement savings 401(k) plan with company match, paid time off (PTO), and great opportunities for growth.
