• Senior Claims Processor

    Insight Global (Portland, OR)


    Job Description

    Our client is seeking a Senior Claims Processor to support a long‑standing benefits organization. This role supports U.S. Benefits, a small, experienced claims processing team within a multi‑employer trust environment. This position is open due to upcoming retirements of senior claims processors and will play a key role in claims processing, auditing, adjudication logic, and knowledge transfer. The ideal candidate has strong medical and/or dental claims experience and is comfortable working in a lower‑volume, high‑accuracy environment.

     

    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 opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their 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 or uniformed service member status, 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 [email protected] 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

    • 5+ years of medical and/or dental claims processing experience

    • Strong knowledge of claims adjudication logic and appeals

    • Experience auditing claims and ensuring compliance

    • Familiarity with claims processing systems and configuration tools

    • Experience handling customer inquiries via phone and email

    • High attention to detail and ability to work independently

    • Comfortable working in a small team environment • Experience with reporting and data analysis related to claims

    • Coding or system configuration experience

    • Background in multi‑employer trusts or benefits administration

     

    Experience supporting process improvement initiatives