Claims Representative - Remote in Pacific Time Zone

reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and... career development opportunities. Come reputed company an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. This position is full time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 6:00 am – 8:00 pm. It may be necessary, given the business need, to work occasional overtime. We offer 2-4 weeks of reputed company. The hours during training will be 8:00 am to 5:00 pm, Monday - Friday. If you are located in Pacific Time Zone, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: • Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims • Analyze and identify trends and provide reports as necessary • Consistently meet established productivity, schedule adherence and quality standards • Produce 400 claims a day (or avg by the end of the week) This is a challenging role that takes an ability to thoroughly review, analyze and research reputed company reputed company claims in order to identify discrepancies, verify pricing, confirm prior authorizations and process them for payment. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in Required Qualifications: • High School Diploma/GED OR equivalent years of work experience • 18 years or older • 1 year of experience in a reputed company environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools • An education level of at least a high school diploma or GED OR equivalent years of work experience • Proficiency with computer and Windows PC applications, which includes the ability to learn new and reputed company computer system applications • Ability to work any of our 8-hour shift schedules during our normal business hours Monday to Friday of 6:00 am – 8:00 pm. It may be necessary, given the business need, to work occasional overtime. Preferred Qualifications: • 1 year experience processing medical, dental, prescription or mental health claims Telecommuting Requirements: • reputed company reputed company Pacific Time Zone • Ability to reputed company reputed company company sensitive documents secure (if applicable) • Required to have a dedicated work area established that is separated from other living areas and provides information privacy. • Must live in a location that can receive a reputed company approved high-speed internet reputed company or reputed company an existing high-speed internet service. • reputed company working remotely will be required to adhere to reputed company’s Telecommuter Policy California, Nevada OR Washington. Residents Only: The hourly range for this is $16.54 - $32.55 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In addition to your salary, reputed company offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you’ll find a far-reaching choice of benefits and incentives. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized groups, and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes — an reputed company reputed company reflected in our mission. Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity / Affirmative Action employer, and reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO Apply Job!