Claims Processor II - Local

Claims Processor II - Local
In San Diego, California 92123

Job Description

Workway is a professional staffing firm, working with organizations across the country to place exceptional candidates. We are looking for a Claims Processor II - Local responsible for the accurate review, input and adjudication of claims using reasonable payment policies and methodologies that are consistent with and recognized by Health Plans, nationally recognized medical organizations, federal regulatory bodies, and contractual obligations of the organization.

 Your specific duties will include:

  • Provide expertise and/or general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims
  • Authorize appropriate payment or refer claims for further investigation as appropriate
  • Consistently meet established productivity schedule, adherence, and quality standards
  • Process claims adjustments and/or appeals

Specific qualifications for the position include

  • High School Diploma
  • GED or foreign equivalent
  • 2 year experience required

Let one of our recruiters assist you in finding and preparing for interviews with our clients. Whether you are interested in a direct hire, temp-to-hire, or temporary position, Workway can help you to put your best foot forward. Contact us today! 

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