Claims Processor
Insight Global
Job Description
Process claims files using multiple internal systems, TPA websites and interaction with TPA representatives to ensure claims are processed accurately
Send various reports to employer groups and TPAs and respond to emails from employer groups and TPAs
Review and solve tickets regarding customer complaints/inquiries, questions, and requests from employer groups, and claim adjustment requests from internal and external clients
Create documents for employer credits as well as Create Ad hoc reports as needed
We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, 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 Human Resources Request Form (https://airtable.com/app21VjYyxLDIX0ez/shrOg4IQS1J6dRiMo) . The EEOC "Know Your Rights" Poster is available here (https://www.eeoc.gov/sites/default/files/2023-06/22-088\_EEOC\_KnowYourRights6.12ScreenRdr.pdf) .
To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .
Skills and Requirements
High attention to detail with strong organizational and time-management skills. Proven ability to execute on established processes and manage daily operational tasks independently.
Strong computer proficiency and adaptability to new systems
Solid written and verbal communication skills
Proven ability to manage multiple tasks and prioritize effectively in a fast-paced environment
Experience meeting deadlines in performing required functions under pressure on a routine basis
Clear and professional communication skills, with an aptitude for coordinating effectively between multiple teams
Collaborative mindset with the ability to work effectively across departments and communicate clearly with both internal and external stakeholders
Bachelors degree preferred, or equivalent combination of education and relevant experience.
Minimum of 3 years of experience in medical claims processing
Customer service experience strongly preferred
Experience in Medical/Health Insurance experience is preferred
Proficiency in Microsoft Office, particularly Excel, strongly preferred 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 HR@insightglobal.com.
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