Zenith American Solutions
Claims Processor
Tualatin, OR
Sponsorship not specifiedDetected 8 days ago
Customer SupportHIPAAICD-10Microsoft Office
About the role
- "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role."
- May provide customer service by responding to and documenting telephone, written, electronic, or in-person inquiries.
Responsibilities
- Maintains current knowledge of assigned Plan(s) and effectively applies that knowledge in the payment of claims.
- Performs other duties as assigned.
Requirements
- Ability to communicate clearly and professionally, both verbally and in writing.
- Ability to calculate figures and amounts such as discounts, interest, proportions, and percentages.
- Must be able to work in environment with shifting priorities and to handle a wide variety of activities and confidential matters with discretion
- Computer proficiency including Microsoft Office tools and applications.
Nice to have
- Experience working in a third-party administrator.
- Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee of this job.
- Duties, responsibilities and activities may change at any time with or without notice.
- Zenith American Solutions
- Local Expertise.
- Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 44 offices nationwide.
- The original entity of Zenith American has been in business since 1944.
- By combining resources, best practices and scale, the new organization is even stronger and better than before.
Compensation
- Processes routine claims which could include medical, dental, vision, prescription, death, Life and AD&D, Workers' Compensation, or disability.
Benefits
- Processes routine claims which could include medical, dental, vision, prescription, death, Life and AD&D, Workers' Compensation, or disability.
- The Claims Processor provides customer service and processes routine health and welfare claims on assigned accounts according to plan guidelines and adhering to Company policies and regulatory requirements.
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This listing is sourced directly from Zenith American Solutions's careers page and normalized into a canonical job model.