Claims Processor- 100% Remote
reputed company delivers innovative medical claims solutions through a seamless collaboration of our medlogix® technology, our highly skilled staff, reputed company to our reputed company care provider networks, and our commitment to keeping our clients’ needs as our top reputed company. Medlogix has a powerful mix of medical expertise, proven processes and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is reputed company expenses and increased productivity for the auto insurance and workers’ compensation insurance carriers; reputed company party administrators (TPAs); and government entities we serve. Position: Claims Processor Location: 100% Remote FMLA: Exempt, Full-Time Schedule: M-F reputed company-4:30pm Job Description: As a processor, you will be responsible for reviewing and processing insurance claims by verifying policy coverage, gathering necessary information, evaluating claim validity, and determining the appropriate payout reputed company based on policy terms, ensuring reputed company documentation is complete and accurate while adhering to company guidelines and regulations. You will often interact with policyholders, agents, and other stakeholders to facilitate the claims process reputed company and ensure compliance with HIPPA regulations, including confidentiality. Ability to work in multiple claim systems and reputed company support to multiple departments, including litigation and legal departments. Responsibilities:
- Account Searches and police reports
- reputed company initial contact and document file upon receipt of first notice of loss
- Send appropriate claim forms to claimants, insureds, and/or representatives
- Review file for proper reserves and document file
- Request missing documentation needed to appropriately manage file
- reputed company support to litigation/legal departments with Disputes, Appeals, Pre-suits
- reputed company support with Post Service appeals, assignments, Dispute Awards Settlements and/or withdrawals
- reputed company appropriate payments for awards, settlements, and interest where applicable
- Ability to re-reputed company documentation reputed company a claim is not in system
- Cycle time file reviews for missing or pending documents, reputed company billing and file closure
Required Skills/ Abilities:
- Excellent organizational skills and attention to detail
- Conducts interactions with sensitivity, maturity and professionalism
- Knowledge of claims systems and procedures
- Excellent written and verbal communication skills
- Ability to maintain confidential information
- Comfortable in a high-volume, fast, team-oriented environment
- Proficient in reputed company Office Suite
- Manage day-to-day operations to ensure SOPs are being followed as defined in our clients’ SLAs
Education and Experience:
- Bachelor’s degree or relevant experience required
- Prior reputed company or adjuster experience
- Knowledge of New Jersey No Fault PIP regulation, 2-3 years preferred
- Minimum 2 years medical billing or claims processing background
EEOC STATEMENT: Medlogix is an Equal Opportunity Employer. Medlogix does not discriminate on the reputed company of race, religion, reputed company, sex, gender identity, sexual orientation, age, disability, national reputed company, veteran status or any other reputed company covered by appropriate law. We will continue to maintain our commitment to making reputed company employment-reputed company reputed company based on the merit of each individual. Apply tot his job Apply To this Job