Jobs · OTHR · California

Claims Processor 2

Zenith American Solutions, Inc. · San Francisco, CA · 2 days ago
OTHR$26.78/hrFull-time

Key Duties And 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.
  • Provides customer service by responding to and documenting telephone, written, electronic, or in-person inquiries.
  • Performs other duties as assigned.

Minimum Qualifications

  • 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.

Pay

$26.78/hr

Schedule

N/A

Benefits

We offer an array of benefits including health, vision, and dental coverage, a retirement savings 401(k) plan with company match, paid time off (PTO), great opportunities for growth, and much, much more!

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