Health and Dental Claims Adjudication Clerk
2 weeks ago
**Position Description**:
We are currently recruiting for a permanent, full-time Health and Dental Claims Adjudication Clerk to join our dynamic team. The Claims Adjudication Clerk is responsible for ensuring claims are handled promptly and efficiently within the company guidelines and practices.
The successful applicant will ensure the delivery of superior claims service.
**Key Responsibilities & Duties**:
- Collect required claim information and documentation;
- Process and settle claims in a prompt and equitable manner;
- Prioritize and manage workload to maintain service standards and open-to-close ratio;
- Organizing, reviewing, analyzing and investigate claims and eligibility information;
- Adjudicating claims where intervention is not required, including keying claims data into claims processing systems and documenting all contacts made and actions taken;
**Qualifications**:
- Claims handling experience may be beneficial
- A passion for and demonstrated experience in customer service
- Ability to multitask, prioritize tasks and responsibilities efficiently and effectively
- A self-starter with strong planning and organizational skills
- Ability to work in a fast-paced, team environment
- Well organized with superior attention to detail
- Ability to work independently and as part of a team
- Ability to manage high volume workload and balance tasks
- Ability to work accurately with figures
If you are interested in this exciting, challenging position with Pacific First, please respond with your cover letter and resume.
**Salary**: $19.00-$21.00 per hour
**Benefits**:
- Casual dress
- Dental care
- Extended health care
- Vision care
Schedule:
- Monday to Friday
Work Location: One location
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