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Job Title: Claims Processor I
Client: Health Care Insurance
Duration: 12 Months
Location: Fairfax VA 22031 (100% remote however the resource must reside in District of Columbia Maryland Virginia(DMV))
Purpose:
Under direct supervision reviews and adjudicates paper/electronic claims. Determines proper handling and adjudication of claims following organizational policies and procedures.
Essential Functions:
Qualifications
To perform this job successfully an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Preferred Qualifications:
Additional Skills:
Knowledge Skills and Abilities (KSAs)
The incumbent is required to immediately disclose any debarment exclusion or other event that makes them ineligible to perform work directly or indirectly on Federal health care programs. Must be able to effectively work in a fastpaced environment with frequently changing priorities deadlines and workloads that can be variable for long periods of time. Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer including customers who may be demanding or otherwise challenging.
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Full Time