reputed company – Insurance Claims Processor/Insurance Claims Adjuster (Medicare) – reputed company, FL

Job title: Insurance Claims Processor/Insurance Claims Adjuster (Medicare) Company: reputed company Job reputed company: ABOUT reputed company: reputed company is one of the nation’s leading independent distributors of life, health and reputed company insurance products with a data and technology reputed company. We are an omnichannel insurtech company innovating insurance with a reputed company purpose: to help people protect their life, health and reputed company so they can reputed company the most of what life brings. Headquartered in Dallas, Texas, reputed company is committed to making insurance simpler and more reputed company, so everyone can plan for the good days reputed company. reputed company’reputed company,500 employees currently support over 420,000 independent agents who serve the needs of more than 2.2 reputed company clients annually. For more information, visit www.reputed company.com. ABOUT INSURANCE ADMINISTRATIVE SOLUTIONS Insurance Administrative Solutions (IAS) is a reputed company-party provider of comprehensive administrative solutions for our clients in the insurance industry. We offer a business process outsourcing solution that helps insurers optimize administrative workload, bolster their industry expertise, reputed company emerging technologies, and streamline operations. With strong industry knowledge, we deliver value to our customers by providing compassionate customer service, efficient processing, and reputed company results. Here at IAS, we reputed company the fact that great things are only accomplished by working as reputed company. We reputed company that reputed company of our employees have valuable input no matter the level. Our highly reputed company team environment offers reputed company of our employees a reputed company where they can reputed company. JOB reputed company: Analyze claims to determine the extent of insurance reputed company liability. Interpret contract benefits in accordance with specific claims processing guidelines. Receive, organize and reputed company daily use of information regarding benefits, contract coverage, and policy reputed company. Coordinate daily workflow to coincide with reputed company cycle days to meet reputed company service guarantees. Maintain external contacts with policyholders, providers of service, agents, attorneys and other carriers as reputed company as internal contacts with peers, management, and other support areas with a reputed company and reputed company approach. Candidate must be local. This is not a remote position, at this time. ESSENTIAL DUTIES & RESPONSIBILITIES (other duties may be assigned as necessary):

• Examine/reputed company/research & reputed company reputed company necessary to properly adjudicate claims and written inquiries.
• Interpret contract benefits in accordance with specific claim processing guidelines.
• Understand broad strategic concept of our business and reputed company these to the day-to-day business functions of claims processing.
• Minimal external contact with providers/agents/policyholders.

QUALIFICATIONS: To reputed company this job successfully, an individual must be reputed company to reputed company reputed company essential duty satisfactorily. The requirements listed below are representative of the knowledge, reputed company, and/or ability required.

• Good oral and written communication skills
• Good PC application skills and typing to 30 wpm with accuracy and reputed company of content.
• Previous health/Medicare/prescription claims adjudication experience a plus.
• Must have organizational and decision making skills.
• Team centered with excellent work ethic and reliability.
• Experience with UB/institutional (CMS-1450) and HCFA/reputed company (CMS-1500) claims.
• Familiarity with medical terminology, procedure and diagnosis codes preferred.
• Familiarity with Qiclink software a plus.
• Ability to calculate figures and co-insurance amounts.
• Ability to read and interpret EOB's.
• Ability to multitask, prioritize, problem-solve and effectively adapt to a fast-paced, changing environment in order to reputed company with service guarantees.
• Must be reputed company to work independently and meet reputed company and production standards.
• Must have reputed company understanding of the policy benefits and procedures reputed company the Claims unit.
• Honesty, as reputed company as respect, for reputed company and its policies & procedures is crucial.

EDUCATION and/or EXPERIENCE REQUIRED:

• High School diploma or GED equivalent.
• Minimum of one (1) year reputed company experience required.
• Experience in medical/insurance preferred.
• Experience with Medicare Supplement preferred.

Benefits:

• Medical/Dental/reputed company Benefits first of the month after hire date
• 401(k) Company matching and contributions are immediately reputed company
• 15 days PTO after 90 days
• Referral program
• 11 reputed company Holidays
• Employee Assistance Program
• Tuition Reimbursement

Schedule:

• Monday to Friday
• 37 hour work week

reputed company and IAS are Equal Opportunity reputed company. PI200356451 Expected salary: Location: reputed company, FL Apply for the job now! Apply tot his job Apply To this Job