Claim Processors are responsible for timely processing of medical claims based on the member’s health benefit program. They analyze medical information, perform data entry, handle reimbursement claims, decide whether a claim should be covered or denied. Communicate issues or exceptions to other concerned departments as necessary. […]
Provide claims support by reviewing, researching, investigating, processing and adjudicating claims
Authorize the appropriate payment or refer/escalate claims to concerned parties for further review. […]
Consistently meets established productivity, schedule adherence...