Claims Representative - Evernorth - Remote
Process direct member and pharmacy submitted claims timely and accurately. Validate member’s eligibility and ensure claim information entered is complete and accurate. Process claims according to client specific guidelines while identifying claims requiring exception handling.
Requirements
• High school diploma or GED
• 2+ years medical and/or pharmacy claims processing experience
• Demonstrated 10 key data entry skills
• General PC Knowledge: MS Office, Internet, some experience with Excel, PowerPoint, and WebEx preferred
• Excellent communication (oral and written) skills
• Ability to work a flexible schedule
• Strong attention to detail, accuracy and quality to meet goals
• Ability to work in a fast-paced environment, making independent decisions
• Advanced problem-solving skills
Benefits
• Medical
• Vision
• Dental
• Well-being and behavioral health programs
• 401(k) with company match
• Company paid life insurance
• Tuition reimbursement
• Paid time off
• Paid holidays
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