Job Summary

Claims Representative

  • Location:
    Jefferson City, Missouri
  • Job reference:
  • Category:
    Customer Service (non-IT)
  • Contract Type:
    Contract/Temp to Hire

Hiring for a Claims Representative Job in Jefferson City Missouri.
Job Description:

  • 2-month contract with possibility for extension based on performance and fit
  • Jefferson City MO
  • Schedule: M-F 8am - 4:30pm
  • Responsible for keying, processing and/or adjusting health claims in accordance with claims policies and procedures
  • Works without significant guidance w/ basic understanding of multiple products (HMO, PPO, COB, etc.)
  • Must be able to successfully perform all the duties of the Claims Rep I

Primary duties may include, but are not limited to:

  • Able to handle more complex claims.
  • Good understanding of the application of benefit contracts, pricing, processing, policies, procedures, gov't regs, coordination of benefits, & healthcare terminology.
  • Good working knowledge of claims and products, including the grievance and/or re-consideration process.
  • Excellent knowledge of the various operations of the organization, products, and services.
  • Reviews, analyzes and processes claims/policies related to events to determine extent of company's liability and entitlement.
  • Researches and analyzes claims issues. Responds to inquiries, may involve customer/client contact.
  • Requires a HS diploma or equivalent; 1-3 years of claims processing experience; previous experience using PC, database system, and related software (word processing, spreadsheets, etc.); or any combination of education and experience, which would provide an equivalent background.

If you are interested in applying for this Claims Representative job in Jefferson City Missouri please apply now!

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All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

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