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1 Senior Claims Examiner Job in Mashantucket, CT

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Mashantucket Pequot Tribal Nation
Mashantucket, CT | Full Time
$47k-60k (estimate)
3 Months Ago
Senior Claims Examiner
$47k-60k (estimate)
Full Time | Transportation 3 Months Ago
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Mashantucket Pequot Tribal Nation is Hiring a Senior Claims Examiner Near Mashantucket, CT

Under the supervision of the Manager, the incumbent adjudicates claims and provides phone and/or casino onsite coverage for all member and provider interactions. Accountable for the status of claim age for all group evaluation and daily work flow. Makes adjustments daily to ensure standards are met. High school diploma or GED; one year of college level anatomy or pre-med classes or advanced medical terminology training, including ICD10 and CPT Coding; minimum two to four years’ experience in medical claims processing; word processing and data entry skills; Must have theability to train employees and familiarity with HIPAA guidelines. Experience with Trizetto QicLink or VBA claims system preferred.

Job Summary

JOB TYPE

Full Time

INDUSTRY

Transportation

SALARY

$47k-60k (estimate)

POST DATE

02/05/2024

EXPIRATION DATE

06/03/2024

WEBSITE

mptn-nsn.gov

HEADQUARTERS

NORTH STONINGTON, CT

SIZE

3,000 - 7,500

FOUNDED

1666

CEO

JOSEPH PEELETIER

REVENUE

<$5M

INDUSTRY

Transportation

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About Mashantucket Pequot Tribal Nation

The Mashantucket (Western) Pequot Tribal Nation is a federally recognized northeastern woodland tribe located at one of Americas oldest Indian reservations Mashantucket in Southeastern Connecticut. As pioneers of the Indian Gaming casino industry, the history of the Mashantucket Pequots unfolds one of Americas greatest come-back stories, and is featured at the Tribes world renowned Mashantucket Pequot Museum. Today, the Tribe owns and operates one of the largest resort casino destinations in North America, Foxwoods Resort Casino, along with a variety of businesses ventures, including but not... limited to a world-class golf course, luxury spa, Pequot Pharmaceutical Network, and Pequot Plus Health Benefit Services. As one of Connecticuts highest revenue contributors and largest employers, the Mashantucket Pequots have provided more than $4 billion in slot revenue to the state through a first-of-its-kind compact agreement, established in 1993. Likewise, the Tribe has contributed hundreds of millions in donations and sponsorships for the benefit of communities and tribes in need, locally and throughout the U.S. More
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The following is the career advancement route for Senior Claims Examiner positions, which can be used as a reference in future career path planning. As a Senior Claims Examiner, it can be promoted into senior positions as a Claims Examiner III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Senior Claims Examiner. You can explore the career advancement for a Senior Claims Examiner below and select your interested title to get hiring information.