Overview
On Site
Depends on Experience
Contract - W2
Contract - 9 Month(s)
Skills
Health Care
Data Entry
Customer Service
Insurance
Customer Focus
Claims Processor
Claims Coordinator
Job Details
Job Title: Claims Processor (Claims Coordinator)
Location: Mason, OH 45040
Work Arrangement: Onsite 5 days per week initially; potential hybrid opportunity (3 days office / 2 days remote not guaranteed)
Start Date: ASAP
Work Hours:
- 8:00 AM 5:00 PM (1-hour lunch) or
- 8:00 AM 4:30 PM (30-minute lunch)
General Function
The Claims Processor (Claims Coordinator) is responsible for accurately and efficiently processing manual claims and related claim activities. This includes ensuring compliance with client policies, meeting productivity and accuracy targets, and maintaining strong communication with internal stakeholders.
The role requires attention to detail, data entry proficiency, and a foundational understanding of claims adjudication processes.
Key Responsibilities
- Claims Processing: Efficiently and accurately processes standard claims and claim adjustments.
- Quality & Performance: Consistently meets or exceeds production, cycle time, and accuracy standards.
- Project Support: Participates in non-complex claims-related projects and initiatives as assigned (e.g., medically necessary contact lens processing, network efforts).
- Adaptability: Quickly understands and applies processing changes resulting from new plan designs or benefit structures.
- Customer Focus: Collaborates with supervisors, peers, and cross-functional teams to deliver quality service and support client s operational goals.
- Collaboration: Communicates effectively with client Account Managers, Operations, IT, Client Representatives, and leadership to ensure smooth claim processing.
- Self-Improvement: Proactively develops remediation plans with supervisors when performance standards are not being met.
Knowledge & Skills
- Strong data entry and claims processing skills.
- Proficiency in Microsoft Excel and Access.
- Understanding of third-party benefits and claims administration.
- Excellent attention to detail and accuracy under pressure.
- Strong customer service orientation with effective communication and teamwork abilities.
- Ability to multi-task and meet deadlines in a high-volume environment.
Experience & Education
- Experience: 0 1 year of experience in claims processing or data entry.
- Education: High school diploma (required).
- Preferred: Exposure to healthcare or vision insurance claims processing systems.
Compliance & Training Requirements
All temporary employees must complete the following mandatory training courses:
Compliance & Security:
- General Compliance
- HIPAA
- Fraud, Waste, and Abuse
- Security Essentials
- Introduction to Phishing
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.