Claims Processor

  • Location
    Santa Ana, California
  • Job type
  • Salary
  • Category
    Medical & Science

 Job Description

These Contractors will be instrumental to the success of the Product Team and Behavioral Team during Open Enrollment. The Contractors will be expected to be part of the team, incorporate into all team processes. We have very short deadlines and are required to have benefits built accurately in the system. Contractors will be required to be able to meet members' needs to access benefits. They are expected to complete analysis of benefit information and code into various systems.




Specific Duties:

1.Analyzing benefit documents.

2. Building benefits in systems.

3. Auditing own work, work of others.

4. Respond to inquiries regarding data.

5. Tracking received data and source documents.


Must have qualifications/experience:

1. Excellent analytical skills.

2. Excellent communication skills.

3. Healthcare background.

4. Knowledge and/or experience in benefit interpretation.

5. Attention to detail.


Candidate must be able to work in a team environment and have the ability to be trained on software required for the day to day job duties.


Shift Start/End Time: 8:00am-5:00pm (these are also the training hours)

Dress Code: Business Casual 

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Reference number US_EN_99_028082_11950460