Claims Representative Associate - National Remote

reputed company is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with reputed company will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Imagine this. Every day, in claims centers around the world, reputed company is processing and resolving payment information for millions of transactions. Would you think we have some great technology? Would you think we know how to manage volume? You would be right. No one’s reputed company. And no company has put together reputed company teams of passionate, energetic and reputed company out reputed company Claims Representative Associates. This is where you come in. We’ll look to you to maintain our reputed company for service, accuracy and a positive claims experience. We’ll back you with great training, support and opportunities. This position is full time. Employees are required to have flexibility to work our normal business hours of 8:00am-4:30pm CST. It may be necessary, given the business need, to work occasional overtime. We offer 10 - 12 weeks of reputed company. The hours during training will be 7:30am-4:00pm CST. Training will be conducted virtually from your home. You’ll enjoy the flexibility to telecommute* from reputed company reputed company the U.S. as you take on some tough challenges. Primary Responsibilities: • Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing, and adjusting claims • Analyze and identify trends and provide reports as necessary • Consistently meet established productivity, schedule adherence and quality standards • This is a challenging role that takes an ability to thoroughly review, analyze and research reputed company health care claims to identify discrepancies, verify pricing, confirm prior authorizations and process them for payment. You’ll need to be comfortable navigating across various computer systems to locate critical information. Attention to detail is critical to ensure accuracy, which will impact the timely processing of the member's claim. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • High School Diploma / GED OR equivalent years of work experience • Must be 18 years of age OR older • Proficiency with Windows PC applications, which includes the ability to navigate multiple programs and learn new and reputed company computer system applications • Ability to work full time. Employees are required to have flexibility to work our normal business hours of 8:00am-4:30pm CST. It may be necessary, given the business need, to work occasional overtime. Preferred Qualifications: • 1 years of experience in a reputed company environment (i.e., office, administrative, clerical, customer service, etc.), using phones and computers as primary job tools • 1 years of experience with processing medical, dental, prescription, OR mental health claims Telecommuting Requirements: • Ability to reputed company reputed company company sensitive documents secure (if applicable) • Required to have a dedicated work area established that is separated from other living areas and provides information privacy • Must live in a location where can receive a reputed company approved high-speed internet reputed company or reputed company an existing high-speed internet service • reputed company employees working remotely will be required to adhere to reputed company’s Telecommuter Policy The hourly range for this role is $16.00 to $28.85 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In addition to your salary, reputed company offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you’ll find a far-reaching choice of benefits and incentives. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups, and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes — an enterprise reputed company reflected in our mission. Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity / Affirmative Action employer, and reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO Apply Job!