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Title: Claims Processor 1 Department: Claims
Bargaining Unit: 153 Grade: 16
Position Type: Non-Exempt Hours per Week: 40
Position Summary
The Claims Processor 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.
Zenith American Solutions
Real People. Real Solutions. National Reach. Local Expertise.
We are currently looking for a dedicated, energetic Claims Processor 1 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.
Job Posted by ApplicantProFull Time
$52k-66k (estimate)
05/03/2024
05/16/2024
The following is the career advancement route for Claims Processor positions, which can be used as a reference in future career path planning. As a Claims Processor, it can be promoted into senior positions as a Claims Clerk III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Claims Processor. You can explore the career advancement for a Claims Processor below and select your interested title to get hiring information.
If you are interested in becoming a Claims Processor, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Claims Processor for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Claims Processor job description and responsibilities
Respond to customer questions, provide guidance on how to file claims and communicate to customers through phone call, email and chat systems.
02/12/2022: Springfield, OR
Claims Processor prepares daily reports for claims management team.
04/30/2022: Fort Myers, FL
Determines whether to return, deny, or pay claims according to organizational policies and procedures.
03/15/2022: Santa Cruz, CA
Claims Processor is responsible for inputting new claims, processing payments, conducting billing research and responding to telephone inquires.
03/06/2022: Helena, MT
For standard claims, a claims processor can calculate the claim amount and pay checks to clients.
04/14/2022: Greenville, MS
Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Claims Processor jobs
The time to send the acknowledgement email for each of the claims case should be set based on the customer type.
04/26/2022: Fresno, CA
An onset date should be recorded on all accident related claims.
02/19/2022: Greensboro, NC
Stop Wasting Time on Manual Administrative Tasks.
02/18/2022: Wilmington, DE
Deliver a Top Notch Client Experience.
03/12/2022: Sarasota, FL
When they’re not verifying and paying claims, processors have several administrative responsibilities.
03/02/2022: Cleveland, OH
Step 3: View the best colleges and universities for Claims Processor.