Claims Representative
OrchestrateHR - Dallas, TX

This job posting is no longer available on OrchestrateHR. Find similar jobs: Claim Representative jobs - OrchestrateHR jobs

DESCRIPTION

OrchestrateHR, a third-party administrator providing technology-based, consumer-driven solutions to clients throughout the United States, is seeking a Claims Representative for our office located in Dallas, Tx.

DUTIES

Responsibilities Include: Handle incoming and outgoing phone calls from group plan administrators and policyholders on a daily basis. Responsible for claims requiring expertise and knowledge; such as in coordinate benefit rules for Medicare and other claim's requiring coordination or subrogation. Must be proficient in claim's knowledge, industry standards and in plan document or benefit interpretation as assigned to fully or self-funded groups.

QUALIFICATIONS

Experience required: Customer service, computer, benefits and Claims processing in group plans; medical, dental,1-3 years claim experience / Claims Processing1-3 benefits plans1-3 customer service Computer skillsCoding or terminology Determine eligibility of coverage, plan, and eligibility of claim, patient and benefitsRecognize: when pre-existing applies and what would be a pre-x condition Communicate with co workers, providers and patients in regards to claims and benefits Responsibilities Include: Handle incoming and outgoing phone calls from group plan administrators and policyholders on a daily basis. Responsible for claims requiring expertise and knowledge; such as in coordinate benefit rules for Medicare and other claim's requiring coordination or subrogation. Must be proficient in claim's knowledge, industry standards and in plan document or benefit interpretation as assigned to fully or self-funded groups.

OrchestrateHR - 19 months ago - save job - block
Recommended Jobs
Claims Service Representative
Affirmative Insurance Holdings, Inc - Addison, TX
Affirmative Insurance Holdings, Inc - 4 days ago

Service Center Representative
Sedgwick Claims Management Services - Plano, TX
Sedgwick Claims Management Services - 4 days ago

Auto Liability Representative
Affirmative Insurance Holdings, Inc - Addison, TX
Affirmative Insurance Holdings, Inc - 6 days ago