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Job Description

Processing all claims and using Zendesk to assign claim files (could be up to 500 claims a day)

Enter patient and claim information into TPA

Working on adjustments/files and questions from TPAs

Reporting for client engagement team

Working closely with IT department

Emailing internally or to providers and patients to request additional information, clarifying details, resolving discrepancies, and providing updates.

Communicating with team members via Microsoft Teams

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

2-3 years of claims experience

Experience working in medical claims

Experience with TPAs

Know how to manually process a claim

Detail oriented

Experience working in a fast-paced environment

Comfortable multitasking, hitting deadlines, and working within time constraints Experience working with ticketing systems (Zendesk, Fresh Desk, Zoho Desk)

Formally worked within healthcare or insurance industry 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 [email protected].