10/31/2025
WHAT WE’RE LOOKING FOR This Claims Services Representative requires an individual who has strong interpersonal and organizational skills, the ability to communicate effectively with a variety of personalities, multitask, problem solve and a willingness to adjust from a daily routine when necessary. The individual in this position will have a proactive, forward-thinking approach and a client service mindset. The primary responsibility of the Claims Services Representative is to provide first in class hospitality to internal and external clients, vendors and team members. A GLIMPSE INTO YOUR DAY Pulls and copies claims for quality assurance technician. Handles and resolves first level network, PC and equipment issues. Coordinates the internal scanning and retention of paper claims and other miscellaneous documents such as provider contracts, check work and appeals. Processes claims based on medical necessity decisions from KP. Uses scripts to pay/adjust large...
Relation
Jacksonville, FL, USA
Part Time
