Claims Representative

Accurate processing and completion of medical claims Process claims that route out of automatic adjudication, within current turnaround standards Demonstrate proficiency in product lines applicable to processing unit Understand and apply plan concepts: Deductible, Coinsurance, Copay, Out-of-pocket, State variations Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so