Claims Adjuster

Remote • Posted 6 hours ago • Updated 4 hours ago
Contract W2
12 Months
Remote
Depends on Experience
Fitment

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Job Details

Skills

  • MEDICAL CLAIMS PROCESSING
  • CLAIMS PROCESSING
  • CLAIMS ADJUSTMENT
  • CLAIMS ADJUDICATION
  • MEDICAL TERMINOLOGY
  • PROVIDER REFUND
  • SUBROGATION
  • WORKERS COMPENSATION
  • WORKERS COMP
  • DISBURSEMENTS
  • ANALYSIS
  • INVESTIGATION
  • PROBLEM SOLVING
  • COMMUNICATION
  • ATTENTION TO DETAIL

Summary

Company Description
Lumen Solutions Group Inc. is a technology consulting Services company based in Florida. We provide a wide array of experienced business and IT professionals supporting clients from solution design to implementation and support. We specialize in professional IT consulting services, IT Staffing, Business/IT Strategy, Business Process Blueprints, Enterprise Architecture, Enterprise Transformation. 

RoleClaims Adjuster
LocationBaltimore, MD
Type: Contract

About the Role:
Investigate and perform adjustment of claims and ensure that claims are handled properly within authority limits, and in line with standard procedures and guidelines. Verifies insurance claims by reviewing claims requirements; examining documentation and calculations; highlighting and summarizing out-of-line situations; recommending changes in operating processes; completing reports, logs, and audit records.
 
Qualifications:
  • Medical Claims processing experience.
  • Medical Claims Adjustment experience.
  • Medical Terminology, Provider Refund.
  • Subrogation, Workers Comp.
  • Disbursements.
 
Preferred Qualifications:
  • Ability to analyze information gathered from investigation.
  • Excellent communication skills both written and verbal.
  • Ability to recognize, analyze, and solve a variety of problems.
  • Skill in completing assignments accurately with attention to detail.
 
Lumen Solutions Group Inc is an equal opportunity employer. All qualified applicants will be considered for employment without regard to any legally protected status. 
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.
  • Dice Id: 10483685
  • Position Id: 26-00446
  • Posted 6 hours ago
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