Claims Adjudication Specialist (Self-Funded)

Point C; Bellingham (WA); On-site; USD 40,000 - 46,000; Full time

Benefits offered by this job

Comprehensive medical, dental, vision, and life insurance

401(k) retirement plan with employer match

Paid time off (PTO) and disability leave

Job summary

Point C in Bellingham, Washington, is seeking a detail-oriented Claims Examiner to manage medical claims and ensure compliance with industry regulations. The ideal candidate will have 1-2 years of experience in insurance claims processing and be proficient in Microsoft Office.

This role includes responsibilities such as adjudicating new claims, reviewing appeals, and responding to inquiries in a timely manner. The position is supported by a comprehensive benefits package, including medical insurance and a 401(k) retirement plan.

Qualifications

• 1-2 years of experience in insurance claims processing required.
• Ability to interpret and apply plan documents for accurate claims adjudication.
• Strong communication and customer service skills.

Responsibilities

• Adjudicate new claims and process adjustments including denials.
• Review and resolve appeals and subrogation/third-party liability cases.
• Respond to internal and external inquiries via email.

Skills

Insurance claims processing

Analytical skills

Communication skills

Microsoft Office proficiency

Education

Associate Degree

Tools

VBA systems

Job description

Point C in Bellingham, Washington, is seeking a detail-oriented Claims Examiner to manage medical claims and ensure compliance with industry regulations. The ideal candidate will have 1-2 years of experience in insurance claims processing and be proficient in Microsoft Office.

This role includes responsibilities such as adjudicating new claims, reviewing appeals, and responding to inquiries in a timely manner. The position is supported by a comprehensive benefits package, including medical insurance and a 401(k) retirement plan.