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1970 Claims Processor

Tampa, FL
Job Duties: 
  • Processing and adjudicating medical claims. 
  • Maintaining integrity of claims receipts in accordance with standard claims operating and adjudication procedures. 
  • Accurately resolving pending claims using state and federal regulations and specific health plan criteria. 
  • Working within turnaround times to meet client performance guarantees for claims processing. 
  • Meeting productivity and accuracy standards. 
  • Adhere to specified TAT as defined by the business 
Skills Required: 
  • High School diploma or equivalent 
  • 1 year work experience required-Health Care 
  • Strong typing skills with speed and accuracy 
  • Microsoft Word, Excel and Outlook software knowledge 
  • Team-oriented while also able to pursue personal and 
  • departmental production goals daily 
  • Ability to organize in a multi-demand and multi-priority environment 
  • Ability to work overtime as necessary 
  • 1+ year of claims processing experience in Managed Health Care/Insurance experience is highly desirable
please send resume to
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