Claims Processing Representaive

Job summary
Claims Processing Representative 3Location: Remote in Puerto RicoBecome a part of our caring community and help us put health first
Job seniority: entry level
Responsibilities
• Review and adjudicate complex or specialty claims• Handle claims submitted via paper or electronically• Perform advanced administrative/operational/customer support duties• Apply intermediate mathematical skills• Make decisions on returning, denying, or paying claims• Prioritize requests and interpret and adapt procedures, processes, and techniques
Requirements
• 1-3 years of technical experience• Less than 2 years of leadership experience• Proficiency in Microsoft Office Programs• Strong data entry skills• Previous experience in a healthcare or medical environment• Customer service experience• Commitment to preserving confidentiality• Passionate about improving consumer experiences
Key Skills Needed
• Proficiency in Microsoft Office Programs• Strong data entry skills• Customer Service experience• Previous experience in a healthcare or medical environment