Job Description
**Job Description:**
Responsible for the expeditious and accurate adjudication of insurance claims. Included is the provision of excellent customer service to all members, employer groups, providers, facilities and other departments or teams.
**Onsite training in Murray, Utah is mandatory.**
**Essential Functions**
1. Uses proper plan documentation to determine benefits and correctly adjudicates general and specialty claims.
2. Correctly logs, adjudicates and completes paper claim process within required timeframe.
3. Identifies and forwards specialty claims to the appropriate queue.
4. Provides backup for claims processors and examiners. Supports other departments as needed.
5. Effectively participates in meetings, trainings, and committees as designated by the supervisor.
6. Provides a level of superior customer service that is consistent with company standards and goals; including outbound calls to members, providers, facilities, an...
Responsible for the expeditious and accurate adjudication of insurance claims. Included is the provision of excellent customer service to all members, employer groups, providers, facilities and other departments or teams.
**Onsite training in Murray, Utah is mandatory.**
**Essential Functions**
1. Uses proper plan documentation to determine benefits and correctly adjudicates general and specialty claims.
2. Correctly logs, adjudicates and completes paper claim process within required timeframe.
3. Identifies and forwards specialty claims to the appropriate queue.
4. Provides backup for claims processors and examiners. Supports other departments as needed.
5. Effectively participates in meetings, trainings, and committees as designated by the supervisor.
6. Provides a level of superior customer service that is consistent with company standards and goals; including outbound calls to members, providers, facilities, an...