4 claims processor jobs found in Sparks, MD

Title: Participant Services Representative Department: Associated Administrators FLSA: Non-exempt Hours per week: 40 Position Summary The Participant Services Representative provides customer service to participants, beneficiaries, union locals, and providers regarding eligibility, benefits, and claims status. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key Duties and Responsibilities Maintains current knowledge of assigned Plan(s) and effectively applies knowledge in all job functions. Provides written, verbal, or face-to-face customer service by responding to and documenting telephone and written inquiries in accordance with various Plan(s) benefits. Updates files, including documenting system notes of conversations or action taken. Performs tasks associated with the administration of retirement and health and welfare benefits such as; Processing...

Title: Medical Claims Adjustor    Department: Associated Administrators Position Type: Non-exempt         Hours per Week: 40 Position Summary The Medical Claims Adjustor 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 Maintains current knowledge of assigned Plan(s) and effectively applies that knowledge in the payment of claims. Processes routine claims which could include medical, dental, vision, prescription, death, Life and AD&D, Workers' Compensation, or disability. May provide customer service by responding to and documenting telephone, written, electronic, or in-person inquiries. Performs other duties as assigned. Minimum...

Title: Participant Services Representative Department: Associated Administrators FLSA: Non-exempt Hours per week: 40 Position Summary The Participant Services Representative provides customer service to participants, beneficiaries, union locals, and providers regarding eligibility, benefits, and claims status. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key Duties and Responsibilities Maintains current knowledge of assigned Plan(s) and effectively applies knowledge in all job functions. Provides written, verbal, or face-to-face customer service by responding to and documenting telephone and written inquiries in accordance with various Plan(s) benefits. Updates files, including documenting system notes of conversations or action taken. Performs tasks associated with the administration of retirement and health and welfare benefits such as; Processing...

Position Summary The Account Manager executes relationship management activities for assigned client(s) in accordance with Company guidelines, client needs, 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 Manages all aspects of the client relationship with assigned client(s). Executes defined account strategy to develop a value-based relationship with assigned client(s). Sets and manages client expectations and account related activities such as identifying and developing additional service opportunities and coordinating delivery of ZAS services. Understands and remains current on account strategy and specific needs of assigned client(s). Partners with Operations, Accounting, and IT teams to ensure operational effectiveness in dealing with critical client issues. Reviews and approves client...