1 result for Attorneylawyer in Plantation, FL

Claims Associate

Sunrise, FL
onsite
Temporary
18.05 - 20.9 USD / Hourly
We are looking for a dedicated Claims Associate to join our team on a long-term contract basis in Sunrise, Florida. In this role, you will handle medical claims processing, member communications, and ensure compliance with industry standards. This position offers an opportunity to utilize your expertise in medical claims and billing while providing excellent customer service. Responsibilities: • Process new claims by setting them up, completing required forms, scanning documents, and ensuring all claims are accurately processed. • Communicate with healthcare providers to gather additional documentation needed for claim evaluations. • Assess coverage for submitted claims, verifying details through internal systems and attaching supporting documents. • Send clear and thorough correspondence to members explaining the claim adjudication process. • Provide empathetic and detail-oriented customer service, actively listening to member concerns. • Act as a subject matter expert on benefit coverage and product knowledge, assisting members with inquiries. • Maintain strict confidentiality and follow data security and authentication protocols when handling sensitive information. • Organize and prioritize tasks to meet established service standards and benchmarks. • Collaborate effectively in a fast-paced environment to ensure timely claim resolutions. • Ensure compliance with relevant policies, procedures, and regulations while managing member and payment information.
2026-02-23T00:00:00Z