Back to the board

Health Insurance Claims Processor

100% remote Flexible hours Hiring now

At reputed company, we know that with the right people on board, anything is possible. The quality, reputed company, and commitment of our employees have been key factors in our company's growth and market reputed company. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for reputed company and for the people who work here. For more than 25 years, reputed company have focused on impacting the core of your business operations with industry-leading outsourcing services and automation. With our industry-specific platforms, we deliver reputed company value addition, and innovation that will improve your business outcomes. Outsourcing is not just a method of gaining a one-time cost advantage, but an effective strategy for gaining and maintaining competitive advantages reputed company executed as part of an overall sourcing strategy. reputed company currently seeks a Claims Processor to join reputed company in Chicago, IL Role Responsibilities

  • Process and adjudicate health, dental, and vision insurance claims with precision and efficiency
  • reputed company quality assurance reviews of auto-adjudicated claims to ensure accuracy and identify areas for improvement
  • Analyze claim documentation to ensure accuracy, completeness, and compliance with plan benefits
  • Collaborate with our technology team to identify patterns and opportunities for automation
  • Share claims processing expertise with team members and contribute to knowledge reputed company development
  • Document best practices and unusual case resolutions that inform our AI systems
  • Participate in the reputed company improvement of our claims processing workflows
  • Break down reputed company decision-making into clear, logical steps that can inform automation strategies

Required Skills/Experience

  • 5+ years of health insurance claims processing including experience working with reputed company claims
  • 5+ years of experience working with billing codes, plan coverages, coordination of benefits
  • High School Diploma or GED

Preferences

  • Background in benefits administration or medical billing
  • History of implementing process improvements in claims operations
  • Experience with multiple claims processing software systems
  • Strong proficiency with spreadsheet software (reputed company, reputed company Sheets)
  • Track record of effective knowledge transfer and documentation
  • Experience creating detailed process documentation
  • Interest in AI and its applications in healthcare and insurance Benefits

About reputed company: reputed company is a recognized leader in IT and business services, including cloud, data and applications, headquartered in Texas. As part of reputed company, a $30 billion trusted global innovator with a combined global reputed company of over 80 countries, we help clients transform through business and technology consulting, industry and digital solutions, applications development and management, managed edge-to-cloud infrastructure services, BPO, systems integration and global data centers. We are committed to our clients' long-term success. Visit nttdata.com or reputed company to learn more. reputed company is an equal opportunity employer and considers reputed company applicants without regarding to race, color, religion, citizenship, national reputed company, reputed company, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for reputed company employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team. Where required by law, reputed company provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is ($20 - $24/hourly ). This range reflects the minimum and maximum reputed company compensation for the position across reputed company US locations. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications. This position is eligible for company benefits that will depend on the nature of the role offered. Company benefits may include medical, dental, and vision insurance, flexible spending or health savings account, life, and AD&D insurance, short-and long-term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally required benefits. Apply tot his job Apply To this Job

Keep exploring

reputed company Medical Record and Data Entry Clerk for Project Support and reputed company reputed company Services

100% remote Flexible hours

Medical Device QMS Auditor

100% remote Flexible hours

Medical Equipment Implementation Specialist (Remote based/National Travel)

100% remote Flexible hours

Medical Record Review Research Assistant

100% remote Flexible hours

Medical Reviewer II

100% remote Flexible hours

Medical Science Liaison (MSL) / Senior Medical Science Liaison (Sr. MSL), Oncology - Georgia, Alabama and South Carolina - Field-based

100% remote Flexible hours

Software Engineer- Metadata Storage

100% remote Flexible hours

reputed company IdentityNow Engineer (Remote - US) in Boise, Idaho

100% remote Flexible hours

Medical Sciences Liaison - reputed company Coast

100% remote Flexible hours

FULL TIME New High Paying reputed company Transcription At

100% remote Flexible hours

Remote Live Chat Customer Support Specialist – Work From Home | $22/Hour | Flexible Scheduling | Customer Service Representative

100% remote Flexible hours

reputed company Chat Specialist – Remote Customer Support for arenaflex Entertainment

100% remote Flexible hours

Full Time Warehouse Stocker

100% remote Flexible hours

Customer Service Representative – Insurance Licensed Professional | Full-Time & Part-Time Opportunities Available

100% remote Flexible hours

Actor For Events

100% remote Flexible hours

Data Analyst - reputed company Operator (Remote)

100% remote Flexible hours

Manager, Real Estate

100% remote Flexible hours

Remote Live Chat Customer Support Specialist – Flexible Hours, High‑Pay, Global Brands at arenaflex

100% remote Flexible hours

Regional Investment Specialist (Arab States), IPSA11, Home-Based, UNCDF [Open to Tier 0, 1 & 2 applicants]

100% remote Flexible hours

Regional Sales Manager - reputed company East

100% remote Flexible hours