Claims Processor 1
Company: Zenith American
Location: San Bernardino
Posted on: May 7, 2022
Job Description:
Job DescriptionTitle: Claims Processor 1 Department: Claims
Bargaining Unit: 153 Grade: 16Position Type: Non-Exempt Hours per
Week: 40Date Open: 03/30/2022Position SummaryThe Claims Processor
provides customer service and processes routine health and welfare
claims on assigned accounts according to plan guidelines and
adhering to Company policies and regulatory requirements."Has
minimum necessary access to Protected Health Information (PHI) and
Personally Identifiable Information (PII) by Job
Description/Role."Key Duties and Responsibilities
- Maintains current knowledge of assigned Plan(s) and effectively
applies that knowledge in the payment of claims.
- Processes routine claims which could include medical, dental,
vision, prescription, death, Life and AD&D, Workers'
Compensation, or disability.
- May provide customer service by responding to and documenting
telephone, written, electronic, or in-person inquiries.
- Performs other duties as assigned.Minimum Qualifications
- High school diploma or GED.
- Six months of experience processing health and welfare
claims.
- Basic knowledge of benefits claims adjudication principles and
procedures and medical and/or dental terminology and ICD-10 and
CPT-4 codes.
- Possesses a strong work ethic and team player mentality.
- Highly developed sense of integrity and commitment to customer
satisfaction.
- Ability to communicate clearly and professionally, both
verbally and in writing.
- Ability to read, analyze, and interpret general business
materials, technical procedures, benefit plans and
regulations.
- Ability to calculate figures and amounts such as discounts,
interest, proportions, and percentages.
- Must be able to work in environment with shifting priorities
and to handle a wide variety of activities and confidential matters
with discretion
- Computer proficiency including Microsoft Office tools and
applications. Preferred Qualifications
- Experience working in a third-party administrator.Zenith
American SolutionsReal People. Real Solutions. National Reach.
Local Expertise.We are currently looking for a dedicated, energetic
Claims Processor with the necessary skills, initiative, and
personality, along with the desire to get the most out of their
working life, to help us be our best every day.Zenith American
Solutions is the largest independent Third Party Administrator in
the United States and currently operates over 44 offices
nationwide. The original entity of Zenith American has been in
business since 1944. Our company was formed as the result of a
merger between Zenith Administrators and American Benefit Plan
Administrators in 2011. By combining resources, best practices and
scale, the new organization is even stronger and better than
before.We believe the best way to realize our better systems for
better service philosophy is to hire the best employees. We're
always looking for talented individuals who share our dedication to
high-quality work, exceptional service and mutual respect. If
you're interested in working in an environment where people -
employees and clients - really matter, consider bringing your
talents to Zenith American!Internals to Apply:If you meet the
minimum qualifications and are interested in applying for the above
position, please submit an application. All applications must be
received by 5:00 pm on the Internal Posting Deadline listed above
in order to be considered prior to external applicants.
Job Posted by ApplicantPro
Keywords: Zenith American, San Bernardino , Claims Processor 1, Other , San Bernardino, California
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