Claims Processor

Ensure the timely and accurate adjudication and payment of medical claims, following health plan policies and procedures, consulting with team members, care partners and advisors as necessary. Maintain accurate and up-to-date notes of all claims processed. Process appeals and disputes by gathering and verifying claim information, researching and resolving claim issues, and communicating outcomes to appropriate parties. Become an in-house expert on all claims-related matters and provide answers and support to Customer Success and Customer Support teams. Identify operational issues and escalate them to the appropriate internal team. Contribute to teamwide goals to improve claims processes and integrate additional functions into daily operations. Work independently and as part of a team to meet deadlines and daily processing quotas. Success will be measured on ability to complete daily and weekly targets.