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Title: Medical Claims Examiner Department: Claims
Bargaining Unit: 12 Grade: 26
Position Type: Non Exempt Hours per Week : 40
Position Summary
The Medical Claims Examiner 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.
"Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role."
Key Duties and Responsibilities
Minimum Qualifications
Preferred Qualifications
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.
Working Conditions/Physical Effort
Disability Accommodation
Consistent with the Americans with Disabilities Act (ADA) and other applicable federal and state law, it is the policy of Zenith American Solutions to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact the Recruiting Department at recruiting@zenith-american.com, and we would be happy to assist you.
Zenith American Solutions
Real People. Real Solutions. National Reach. Local Expertise.
We are currently looking for a dedicated, energetic Medical Claims Processor with the necessary skills, initiative, and personality, along with the desire to get the most out of their working life, to help us be our best every day.
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. Our company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. By combining resources, best practices and scale, the new organization is even stronger and better than before.
We believe the best way to realize our better systems for better service philosophy is to hire the best employees. We're always looking for talented individuals who share our dedication to high-quality work, exceptional service and mutual respect. If you're interested in working in an environment where people - employees and clients - really matter, consider bringing your talents to Zenith American!
We realize the importance a comprehensive benefits program to our employees and their families. As part of our total compensation package, we offer an array of benefits including health, vision, and dental coverage, a retirement savings 401(k) plan with company match, paid time off (PTO), great opportunities for growth, and much, much more!
Internals to Apply:
If you meet the minimum qualifications and are interested in applying for the above position, please submit an application. All applications must be received by 5:00 pm on the Internal Posting Deadline listed above in order to be considered prior to external applicants.
Other
$42k-50k (estimate)
11/11/2023
02/13/2029
The job skills required for Medical Claims Processor include Customer Service, Microsoft Office, CPT, Initiative, Dedication, etc. Having related job skills and expertise will give you an advantage when applying to be a Medical Claims Processor. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Medical Claims Processor. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Medical Claims Processor positions, which can be used as a reference in future career path planning. As a Medical Claims Processor, it can be promoted into senior positions as a Claims Clerk II that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Medical Claims Processor. You can explore the career advancement for a Medical Claims Processor below and select your interested title to get hiring information.