1,450 Claims Processor jobs in the United States
Insurance Claims Processor
Posted 2 days ago
Job Viewed
Job Description
DXC Technology (NYSE: DXC) helps global companies run their mission critical systems and operations while modernizing IT, optimizing data architectures, and ensuring security and scalability across public, private and hybrid clouds. The world's largest companies and public sector organizations trust DXC to deploy services across the Enterprise Technology Stack to drive new levels of performance, competitiveness, and customer experience. Learn more about how we deliver excellence for our customers and colleagues at DXC.com.
At DXC we use the power of technology to deliver mission critical IT Services that our customers need to modernize operations and drive innovation across their entire IT estate. We provide services across the Enterprise Technology Stack for business process outsourcing, insurance, analytics and engineering, applications, security, cloud, IT outsourcing, and modern workplace.
Our DXC Insurance Services help our customers optimize and transform operations, lower costs, increase agile new channels to growth. Our people, technology and best practices improve and automate highly complex business processes middle and back offices- while facilitating customer experience transformation.
**Required Qualifications**
+ Services Life & Annuity Customer Care customer requests received via incoming phone calls and written correspondence.
+ Proven ability to diffuse escalated situations through ownership of effectively analyzing, partnering and resolving complex customer related issues.
+ Proven ability to rely on pre-established guidelines to perform the primary functions of the job with minimal supervision.
+ Focused on providing outstanding service delivery through effective communication with our customers on the telephone and via written correspondence.
+ Initiates daily contact with our internal and external customers, working to simplify and explain complexities of our products & processes.
+ Responsible for maintaining accurate product & process knowledge as well as staying abreast of regulatory updates.
+ Review, analyze and process written requests and documents as required.
+ Updates and ensures integrity of customer accounts including history.
+ Educates customers about their products features as well as self-service functionality via the IVR and web.
+ Perform at or above individual quality, productivity and timeliness standards set by the business.
**Preferred Qualifications**
+ Demonstrates consistent ownership and initiative in call follow-up, documentation, & work item management.
+ Able to achieve positive team goals and results by adaptation to varying work schedules, improving through feedback, participating in teams and maintaining strong/ongoing relationships with customers and teammates.
+ General Insurance background
**Work Enviroment**
+ **Work Schedule:** Monday - Friday, standard business hours (8:00 AM - 5:00 PM EST).
+ The selected candidate will be required to report to the nearest DXC office
Compensation at DXC is influenced by an array of factors, including but not limited to the experience, job-related knowledge, skills, competencies, as well as contract-specific affordability and organizational requirements. A reasonable estimate of the current compensation range for this position is $31,800 - $52,000.
Full-time hires are eligible to participate in the DXC benefit program. DXC offers a comprehensive, flexible, and competitive benefits program which includes, but is not limited to, health, dental, and vision insurance coverage; employee wellness; life and disability insurance; a retirement savings plan, paid holidays, paid time off.
At DXC Technology, we believe strong connections and community are key to our success. Our work model prioritizes in-person collaboration while offering flexibility to support wellbeing, productivity, individual work styles, and life circumstances. We're committed to fostering an inclusive environment where everyone can thrive.
**If you are an applicant from the United States, Guam, or Puerto Rico**
DXC Technology Company (DXC) is an Equal Opportunity employer. All qualified candidates will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, pregnancy, veteran status, genetic information, citizenship status, or any other basis prohibited by law. View postings below.
We participate in E-Verify. In addition to the posters already identified, DXC provides access to prospective employees for the **Federal Minimum Wage Poster, Federal Polygraph Protection Act Poster as well as any state or locality specific applicant posters** . To access the postings in the link below, select your state to view all applicable federal, state and locality postings. Postings are available in English, and in Spanish, where required. View postings below.
Postings link ( Accommodations**
If you are an individual with a disability, a disabled veteran, or a wounded warrior and you are unable or limited in your ability to access or use this site as a result of your disability, you may request a reasonable accommodation by contacting us via email ( ) .
Please note: DXC will respond only to requests for accommodations due to a disability.
Recruitment fraud is a scheme in which fictitious job opportunities are offered to job seekers typically through online services, such as false websites, or through unsolicited emails claiming to be from the company. These emails may request recipients to provide personal information or to make payments as part of their illegitimate recruiting process. DXC does not make offers of employment via social media networks and DXC never asks for any money or payments from applicants at any point in the recruitment process, nor ask a job seeker to purchase IT or other equipment on our behalf. More information on employment scams is available here _._
Claims Processor
Posted 1 day ago
Job Viewed
Job Description
Insight Global is seeking a detail-oriented and dependable Claims Processor to join our team in Clearwater, FL. This position plays a key administrative role in supporting the claims department through accurate data entry, document management, and communication with internal teams. The ideal candidate will have prior experience in claims processing and a strong commitment to accuracy and confidentiality. This position is five-days onsite and is held to a standard work schedule (Monday-Friday 8 am- 5pm EST).
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: and Requirements
High school diploma or equivalent required; associate degree preferred
2+ year of experience in auto claims insurance processing or a related administrative role
Strong attention to detail and organizational skills
Proficient in Microsoft Office Suite (Word, Excel, Outlook)
Excellent written and verbal communication skills
Ability to work independently and manage multiple tasks in a fast-paced environment
Familiarity with insurance terminology and claims systems is a plus Familiarity with Insurance Claims Management Software (Guidewire, Claims Center, etc.) null
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to
Claims Processor
Posted 7 days ago
Job Viewed
Job Description
**Kelly Services is looking to hire a claims processor for our customer in Honolulu.**
**Location:**
900 Fort Street Mall, Honolulu, HI 96813, United States (On-site only)
_Parking is not available._
**Schedule:**
Monday - Friday, 8am - 5pm
**Pay Rate:**
$19 - $21 per hour (rate determined based on experience)
Under the supervision of the Claims Supervisor, the Claims Processor is responsible for accurately executing all functions related to dental claims processing. The role requires adherence to all processing rules, guidelines, and company policies while consistently meeting department productivity, quality, and accountability standards.
**Essential Duties and Responsibilities**
**Key Responsibilities:**
+ Electronically image hardcopy claim batches as OCR, Non-OCR, and x-ray attachments.
+ Batch image paper attachments, POAs, adjustments, and back-end imaging of claims documentation.
+ Input rejected and RFI claims notices.
+ Perform all aspects of claims data entry, including verification of required documentation.
**Other Duties:**
+ Assist the Claims department in maintaining document policies and procedures.
+ Provide back-up support for Customer Service and other departments as needed.
+ Develop and follow through with plans to meet annual goals.
**Minimum Qualifications and Experience**
**Education:**
+ High School Diploma required.
+ Post-high school training in data processing, office management, business, or related field preferred.
**Experience:**
+ Minimum 1 year of related claims experience required.
**To Apply:**
Submit your resume and cover letter to (company email/contact info).
_Join our customer's team and make a difference in dental claims processing!_
As part of our promise to talent, Kelly supports those who work with us through a variety of benefits, perks, and work-related resources. Kelly offers eligible employees voluntary benefit plans including medical, dental, vision, telemedicine, term life, whole life, accident insurance, critical illness, a legal plan, and short-term disability. As a Kelly employee, you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to eight paid holidays per benefit year), and a transit spending account. In addition, employees are entitled to earn paid sick leave under the applicable state or local plan. Click here ( for more information on benefits and perks that may be available to you as a member of the Kelly Talent Community.
Trust the office staffing pioneer.
Finding the right job isn't always easy. Kelly ® Professional & Industrial takes the guesswork out of your job search by connecting you with great opportunities that work for you. That means your schedule, your interests, and your career plan. In fact, our company created the staffing industry with the goal of connecting people with great office jobs-so you could say we're pretty good at it!
About Kelly
Work changes everything. And at Kelly, we're obsessed with where it can take you. To us, it's about more than simply accepting your next job opportunity. It's the fuel that powers every next step of your life. It's the ripple effect that changes and improves everything for your family, your community, and the world. Which is why, here at Kelly, we are dedicated to providing you with limitless opportunities to enrich your life-just ask the 300,000 people we employ each year.
Kelly is committed to providing equal employment opportunities to all qualified employees and applicants regardless of race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or any other legally protected status, and we take affirmative action to recruit, employ, and advance qualified individuals with disabilities and protected veterans in the workforce. Requests for accommodation related to our application process can be directed to the Kelly Human Resource Knowledge Center. Kelly complies with the requirements of California's state and local Fair Chance laws. A conviction does not automatically bar individuals from employment. Kelly participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.
Kelly Services is proud to be an Equal Employment Opportunity and Affirmative Action employer. We welcome, value, and embrace diversity at all levels and are committed to building a team that is inclusive of a variety of backgrounds, communities, perspectives, and abilities. At Kelly, we believe that the more inclusive we are, the better services we can provide. Requests for accommodation related to our application process can be directed to Kelly's Human Resource Knowledge Center. Kelly complies with the requirements of California's state and local Fair Chance laws. A conviction does not automatically bar individuals from employment.
Claims Processor
Posted 7 days ago
Job Viewed
Job Description
**Transaction Processing Associate II**
**Location: Onsite - Honolulu, HI**
**$19.00/Hourly**
**Join the Conduent Customer Service Team**
At Conduent, we want you to be yourself. We recognize that everyone is different and that how people want to work and deliver at their best is different for everyone too.
In this role, you can expect the following working conditions:
+ Onsite work: Work in our local office, receiving personal coaching and leadership so that you can provide the best support to our clients and help you grow in your career.
**Working for you**
Enjoy a positive, employee-friendly culture while playing an important role in supporting our clients
+ Paid Training
+ Paid vacation and sick time
+ Medical, dental, and vision benefits on day one
+ 401K and matching
+ PerkSpot - Employee discount program
+ Career Growth Opportunities
+ Full-Time: (Mon.-Fri. 8am - 5pm HST)
**Requirements**
+ Type at least 35 WPM
+ Have a High School Diploma or Equivalent
+ Must be able to submit to complete a pre-employment screening
+ Must be at least 18 years of age
**About the Role:**
As a Transaction Processing Associate II, you will provide document review and data entry support to our client. Your assistance will make a positive difference in the organization you support. You will be able to provide successful administration.
**As a Transaction Processing Associate II, you will be responsible for:**
+ Perform data-entry and adjudication of Medicaid Claims data in the company systems
+ Verify and process insurance claims
+ Ensure accuracy, completeness and compliance with company policies and industry regulations
+ Respond to client inquiries on a timely basis
+ Perform all other duties and tasks assigned
**Those successful in this role:**
+ Attention to detail with a positive and energetic attitude.
+ Ability to communicate clearly and confidently, multi-task, and manage time effectively.
+ Ability to work independently and part of a team
+ Computer system experience with data entry and database documentation knowledge.
+ Punctuality, time management and a sense of urgency
+ Strict adherence to safety rules and company policies and guidelines
+ Experience in medical claims data-entry or similar a plus
+ Able to analyze data processes and make recommendations and informed decisions as needed
**Come join us and grow with a team of people who will challenge and inspire you to be the best!**
**Apply Today!**
Pay Transparency Laws in some locations require disclosure of compensation and/or benefits-related information. For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time. The estimated hourly rate for this role is $19.00.
Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.
For US applicants: People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded: click here to access or download the form ( . Complete the form and then email it as an attachment to . You may also click here to access Conduent's ADAAA Accommodation Policy ( .
Claims Processor
Posted 1 day ago
Job Viewed
Job Description
Now Hiring - Full-Time Claims Processor (Remote) Conduent Business Services
Schedule: Monday- Friday 6:00 AM - 2:30 PM (Overtime as needed) Pay: $15.00/hour Benefits: Full benefits package, paid training, and career growth opportunities
Put your skills to work supporting our clients through accurate document review and data entry. In this role, your attention to detail will directly contribute to the success of the organization you support.
About the Role
As a Claims Processor, you will:
· Review documents and accurately capture required information
· Enter, validate, and process data-sometimes handling more complex requests
· Receive and process both electronic and physical documents
· Identify document types and organize them into databases
· Follow up with customers to gather missing information or documentation
· Provide excellent customer service while meeting quality standards
What You'll Need
· High School Diploma or equivalent
· Legal authorization to work in the U.S.
· Ability to pass a criminal background check and drug screening
· Minimum typing speed of 45 WPM
· Strong computer skills and willingness to learn new systems
· Excellent attention to detail, organizational skills, and adaptability
Why Work With Us
· Paid Training - We'll set you up for success from day one
· Career Growth - Opportunities to advance within the company
· Full Benefits - Health, dental, vision, and more
· Positive Work Environment -Supportive and collaborative team culture
Apply today and start your career with Conduent!
**Pay Transparency**
Pay Transparency Laws in some locations require disclosure of compensation and/or benefits-related information. For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time. The estimated salary range for this role is $15.00 per hour
Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.
For US applicants: People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded: click here to access or download the form ( . Complete the form and then email it as an attachment to . You may also click here to access Conduent's ADAAA Accommodation Policy ( .
Claims Processor
Posted 4 days ago
Job Viewed
Job Description
Bargaining Unit: UFCW 555 Grade: 3
Position Type: Non-exempt Hours per Week: 40
Position Summary
The 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.
"Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role."
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.
- May provide 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.
- 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.
Preferred Qualifications
- Experience working in a third-party administrator.
*Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee of this job. Duties, responsibilities and activities may change at any time with or without notice.
Zenith American Solutions
Real People. Real Solutions. National Reach. Local Expertise.
We are currently looking for a dedicated, energetic employee with the necessary skills, initiative, and personality, along with the desire to get the most out of their working life, to help us be our best every day.
Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 44 offices nationwide. The original entity of Zenith American has been in business since 1944. Our company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. By combining resources, best practices and scale, the new organization is even stronger and better than before.
We believe the best way to realize our better systems for better service philosophy is to hire the best employees. We're always looking for talented individuals who share our dedication to high-quality work, exceptional service and mutual respect. If you're interested in working in an environment where people - employees and clients - really matter, consider bringing your talents to Zenith American!
We realize the importance a comprehensive benefits program to our employees and their families. As part of our total compensation package, 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!
Claims Processor
Posted 13 days ago
Job Viewed
Job Description
Union: Teamsters 853 Grade: 4
Position Summary
The 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.
"Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role."
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.
- May provide 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.
- 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.
Preferred Qualifications
- Experience working in a third-party administrator.
*Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee of this job. Duties, responsibilities and activities may change at any time with or without notice.
Working Conditions/Physical Effort
- Prolonged periods of sitting at a desk and working on a computer.
- Must be able to lift up to 15 pounds at times.
Disability Accommodation
Consistent with the Americans with Disabilities Act (ADA) and other applicable federal and state law, it is the policy of Zenith American Solutions to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact the Recruiting Department at , and we would be happy to assist you.
Please note that in compliance with certain state law, we are displaying salary. This rate is intended for hires into this location.
Compensation: $24.85/hr
Zenith American Solutions
Real People. Real Solutions. National Reach. Local Expertise.
We are currently looking for a dedicated, energetic employee with the necessary skills, initiative, and personality, along with the desire to get the most out of their working life, to help us be our best every day.
Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 44 offices nationwide. The original entity of Zenith American has been in business since 1944. Our company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. By combining resources, best practices and scale, the new organization is even stronger and better than before.
We believe the best way to realize our better systems for better service philosophy is to hire the best employees. We're always looking for talented individuals who share our dedication to high-quality work, exceptional service and mutual respect. If you're interested in working in an environment where people - employees and clients - really matter, consider bringing your talents to Zenith American!
We realize the importance a comprehensive benefits program to our employees and their families. As part of our total compensation package, 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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Credit Claims Processor
Posted 2 days ago
Job Viewed
Job Description
Credit Claims Processor
About The Role:Job Summary: Are you a detail-oriented professional who thrives in a fast-paced, team-driven environment? We're looking for a Credit Claims Processor to play a key role in our Accounts Receivable department in Knoxville, TN. In this position, you'll be at the center of our credit and claims operationshelping ensure accuracy, efficiency, and exceptional service to our internal teams and valued dealer partners. This is more than a behind-the-scenes roleyou'll have the opportunity to problem-solve, build strong working relationships, and contribute directly to the financial strength and customer satisfaction that drive our success. If you're someone who takes pride in getting the details right and enjoys making a measurable impact every day, we want to hear from you.
Key Responsibilities:
- Accurately process credit and return requests in a timely manner.
- Review and evaluate credit claims for approval or denial, in accordance with company policies.
- Assist with inventory-related functions, including periodic counts and reconciliations.
- Provide responsive and professional support to dealers and sales personnel.
- Manage multiple priorities effectively to meet departmental deadlines.
- Perform general clerical duties and contribute to the overall efficiency of the Accounts Receivable team.
Qualifications: Prior experience in Accounts Receivable or a related financial/administrative role. Strong attention to detail and problem-solving abilities. Excellent written and verbal communication skills. Ability to work independently as well as collaboratively within a team environment. Proficiency in Microsoft Office applications, including Word and Excel. Familiarity with AS400 or similar enterprise systems preferred.
What We Offer:
- Medical, Dental, and Vision Insurance
- Company 401(k) Plan with 5% Employer Match
- Paid Time Off (PTO) Plan
- Employee Discount on Purchases
- Opportunities for growth and advancement within the company
- A collaborative and team-oriented workplace culture
Medicaid Claims Processor
Posted 4 days ago
Job Viewed
Job Description
BroadPath is seeking a **Medicaid Claims Processor** to join our remote team. The ideal candidate will have strong experience in Medicaid claims processing and be proficient in using QNXT systems. This position is essential for ensuring accurate and timely adjudication of health insurance claims while maintaining compliance with policy guidelines and CMS regulations. The Medicaid Claims Processor will also resolve discrepancies, identify issues, and maintain accurate documentation to support the claims process.
**Responsibilities**
+ Accurately process Medicaid insurance claims, ensuring all data is correctly entered and verified
+ Review and adjudicate claims based on policy guidelines, regulations, and best practices
+ Use the QNXT system to manage claims, perform data entry, and ensure records are updated in real time
+ Adhere to all CMS guidelines and ensure regulatory compliance
+ Identify, troubleshoot, and resolve discrepancies or issues within claims to ensure smooth processing
+ Maintain detailed and accurate records, documentation, and reports to track claim status and outcomes
+ Communicate effectively with internal teams and external partners to clarify claim-related questions or resolve issues
+ Stay current on industry standards, policy updates, and changes in healthcare insurance regulations
+ Assist in process improvement initiatives to enhance claims accuracy and efficiency
+ Perform additional duties as assigned in support of the broader claims processing team
**Qualifications**
+ 1 year of experience in Medicaid claims processing
+ Proficiency in using QNXT systems for claims management and data entry
+ Strong attention to detail and analytical skills, ensuring accuracy in claims adjudication and issue resolution
+ Excellent organizational skills, with the ability to manage multiple claims and meet strict deadlines
+ Effective verbal and written communication skills for collaborating with team members and external stakeholders
+ Ability to work independently in a remote environment while maintaining high productivity and focus
+ High school diploma or equivalent required
**Diversity Statement**
_At BroadPath, diversity is our strength. We embrace individuals from all backgrounds, experiences, and perspectives. We foster an inclusive environment where everyone feels valued and empowered. Join us and be part of a team that celebrates diversity and drives innovation!_
_Equal Employment Opportunity/Disability/Veterans_
_If you need accommodation due to a disability, please email us at_ _. This information will be held in confidence and used only to determine an appropriate accommodation for the application process_
_BroadPath is an Equal Opportunity Employer. We do not discriminate against our applicants because of race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age, disability, veteran status, genetic information, or any other status protected by applicable law._
_Compensation:_ _BroadPath has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location._