Claims Processor - Intermediate

  • Location
    San Francisco, California
  • Job type
  • Category
    Medical & Science - Administration

Adecco is currently assisting a local client in their search to fill Claims Processor - Intermediate in San Francisco, CA
Apply now if you meet the qualifications listed below!
Job summary:

This position provides research and member eligibility support for our ability to meet client performance guarantees which would result in significant negative downstream ramifications for claims, intake and customer service if not filled. We manage the eligibility enrollment for Behavior Health, EAP and/or WorkLife benefits for over a million members. This team will handle individual members eligibility verification, and if needed, will assist the Electronic Systems Analyst team with eligibility load errors.

Specific Duties:
1. Manually update eligibility load exceptions/errors within department standards and metrics
2. Load new group and member data into the enrollment database
3. Responsible for reconciling eligibility discrepancies.
4. Collaborate with peers and members of the business unit they support to fulfill task at hand and/ or special projects

Must have qualifications/experience:
1. Proficient in MS Outlook and Excel, Type 45wpm, 3+ years Data Entry Skills,
2. Detailed Oriented, Team Player,
3. Able to Meet Deadlines, Able to Multitask
4. 3+ years experience in an office setting environment using the telephone and computer as the primary instruments to perform job duties

5. Insurance Knowledge - 2+ years customer service experience within managed care, medical or insurance environment.

Shift Start/End Time: 8:00 am to 4:30 pm

How will the performance of the contractor be measured? We have department standards turnaround times established for task being completed. If a project assignment is given it will have a target due date that we expect the individual to meet. The individuals will be trained in all systems and applications being used, as well as the process involved, and work closely with another team member.

A quick description of the work environment: The individual will be sitting in their own cubicle in an office environment, working at a desktop using the company’s computer and applications/programs with other team members consisting of 12 individuals. The office is located in the heart of the financial district in SF, CA

Dress Code: Business Casual, no jeans (except on Fridays)

IMPORTANT: This position is being recruited for by Adecco’s National Recruitment Center, not your local Adecco Branch Office. To be considered for this position, you must use the “apply now” button to submit your resume. If you have questions about the position, you may contact the recruiter recruiting for this position listed above. For other opportunities available at Adecco go to

If you have any questions surrounding the application process, please feel free to reach out to Yulia Le Good,, tel. 631-844-2804

The Adecco Group is a global leader in HR services. Our group connects over 700,000 associates with our business clients each day through our 6,600 offices in over 70 countries and territories around the world. We offer employment opportunities at any stage in your professional career. Contact us today to discuss available contract and direct hire positions. Adecco Group provides one of the most comprehensive benefits packages in the industry to contract workers to include Holiday, 401(k) and Insurance Benefit Plans.
Equal Opportunity Employer Minorities/Women/Veterans/Disabled

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Reference number US_EN_2_022862_399369