MEDICAL CLAIMS PROCESSOR (TPA/INSURANCE)
Zenith-American - Columbia, MD

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We currently have an opportunity for an experienced Medical/Dental Claims Processor in our Columbia, MD office.

Job Requirements:

  • Independently processes routine medical, dental and/or hospital claims; processes complex claims with minimal assistance as appropriate to assigned unit.
  • Obtains additional information regarding a claim from providers and member when necessary.
  • Meets quantity and quality claims processing standards.
  • Maintains current knowledge of assigned plan(s) and effectively applies this knowledge in the payment of claims and in providing customer service assistance.
  • Assists with customer service as needed by responding to and documenting telephone and written inquiries regarding eligibility, benefits or claims status; setting up claims to be re-opened; and processing check tracers, stop payments, and claims audits.
  • Performs other related duties as assigned.


  • This is a full-time hourly position in a bargaining unit, with a schedule of 35 hrs/week. Zenith American offers competitive pay and benefits including 401(k) and defined benefit pension plans, casual dress and more. For consideration, send resume and cover letter referencing Job #154-2012 to [Click Here to Email Your Resumé] or fax to (206) 216-3486, www.zenith-american.com, Equal Opportunity Employer

    Zenith American Solutions (recently formed by the merger of Zenith Administrators and American Benefit Plan Administrators) is a premier, national third party-administrator (TPA) for employee benefit plans. We serve as administrator, manager or technology service vendor for corporate employers, government entities, trade associations, and Taft-Hartley benefit trust funds, through our national network of service centers. We currently have 1200+ employees located in 36 offices across the nation. We combine technology and proven practices with national resources and a local presence for our clients. Come and find out about the great things going on at Zenith American.

    Requirements

    Qualifications:

  • Three years of experience processing group medical or dental claims through which the incumbent has demonstrated good judgment in, and a thorough knowledge of, claims and adjudication.
  • Knowledge, skills and ability equivalent to a high school diploma.
  • Effective oral and written communication skills.
  • Ability to meet quality and production goals and attendance standards on a consistent basis.

  • Zenith-American - 22 months ago - save job
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