Health Claims Specialists
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Job Description
What you will be doing as a Claims Examiner:
• Work independently, processing claims via data entry for 90% of your day.
• Be responsible for effectively adjudicating claims to meet production, quality, and other metrics in accordance with policy/procedures and regulatory guidelines
• Follow up on claims needing additional information
• Refer problem claims to a Lead and/or auditor for additional review
• Make sure that the integrity of the information is accurate and kept private according to HIPPA guidelines
• Work with specific software
• May be assigned special projects
When you join us, you’ll enjoy:
• Pay rate of $13.50/hour with the opportunity to bonus an additional $1500 a month.
• Medical, dental, and vision plans.
• Paid training and PTO (be sure to ask about our Global Flexible Vacation Policy).
• Company-provided equipment.
• Advancement opportunities – 80% of our frontline leaders have been promoted from within.
• Monthly rewards & recognition programs.
• Employee Discounts.
• EAP and Health and Wellness programs including a personal trainer dedicated to Sutherland.
• Weekday schedule, Monday – Friday 8:30 AM – 5:00 PM EST.
Requirements
Function: Health Care Provider
Experience Level: Associate