Claims Processor 2

3 days ago


San Francisco, California, United States Zenith American Full time
Job Summary

Zenith American Solutions is seeking a dedicated Claims Processor 2 to join our team. As a Claims Processor 2, you will provide exceptional customer service and process routine health and welfare claims on assigned accounts according to plan guidelines and company policies.

Key Responsibilities
  • Maintain current knowledge of assigned plans and effectively apply that knowledge in the payment of claims.
  • Process routine claims, including medical, dental, vision, prescription, death, life, and AD&D, workers' compensation, or disability.
  • Provide customer service by responding to and documenting telephone, written, electronic, or in-person inquiries.
  • Perform other duties as assigned.
Requirements
  • High school diploma or GED.
  • One year of experience as a 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 an environment with shifting priorities and handle a wide variety of activities and confidential matters with discretion.
  • Computer proficiency including Microsoft Office tools and applications.
About Zenith American Solutions

Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 44 offices nationwide. We believe in hiring the best employees who share our dedication to high-quality work, exceptional service, and mutual respect.


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