Claims Assistant for growing Third Party Administrator
Candidate should display eagerness to learn our business and provide support to the claims staff and perform other office duties associated with adjudication of Group Medical/Dental claims on Windows based proprietary clams system under multiple benefit plans.
Prior knowledge of medical terminology, ICD-10, CPT codes and claim processing experience helpful but not necessary as we will train.
Must possess ability to read and interpret medical, dental and prescription plans and be proficient at data entry.
Successful candidate should be able to determine benefits for multiple groups and process claims accurately according to corresponding Plan Documents.
Duties will also include handling correspondence and phone calls from members and providers and documentation of same as well as assisting the Department Manager.
Minimum of 6 mos professional administrative experience, preferably in the insurance industry; combination of training, education and experience.
Strong customer service skills required.
Third Party Administrator of Group Health Claims, located in Downtown Cleveland.
Role: Claims Assistant/Claims Examiner-Group Medical/Dental
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