• Investigate and enter claims in the payment system.
• Efficiently meet quality standard of 95% while processing between 100-125 claims daily.
• Keeping track and closing open and pending claims quickly and independently.
• Investigating claims with multiple coverages and complexities in or to determine if claims can be payable, resolve denials and correct rejections.
• Process cash transfers and check requests, reviewing insurance explanations, benefits and remits.
• Electronic, paper and web portal billings.
• Appropriately sending claims to departments for review and eligibility, processing collections.
• Develop detailed and professional explanation letters to non-payable claims based on policy provisions and claim documents.
• Consistent focus, work independently and with little supervision.
• Highly detailed and continuously practices performance and quality improvement.

• Minimum of 1 year of RECENT experience in Medical Claims processing
• Experience in Microsoft, Excel, Outlook, and Word
• Ability to effectively and efficiently multi-task
• Ability to work individually and collaboratively
• Highly detailed and sense of urgency with ability to meet deadlines
• Strong customer service skills while being highly professional

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer/Veterans/Disabled

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy

The Company will consider qualified applicants with arrest and conviction records subject to federal contractor requirements and/or security clearance requirements.