Claims Processor – Growth & Benefits (PTO + 401(k))

Zenith American Solutions, Inc.; Tualatin (OR); On-site; USD 45,000 - 65,000; Full time

Job summary

Zenith American Solutions is seeking a Claims Processor in the Claims department to provide customer service and process routine health and welfare claims on assigned accounts in compliance with plan guidelines and company policies.

This non-exempt, full-time role requires a high school diploma or GED, at least six months of claims experience, and strong attention to accuracy, integrity, and communication; shifting priorities and confidential information handling are part of the job.

Qualifications

• High school diploma or GED.
• Six months of experience processing health and welfare claims.
• Basic knowledge of benefits claims adjudication principles and procedures and medical and/or dental terminology and ICD-10 and CPT-4 codes.
• Possesses a strong work ethic and team player mentality.
• Highly developed sense of integrity and commitment to customer satisfaction.
• Ability to communicate clearly and professionally, both verbally and in writing.
• Ability to read, analyze, and interpret general business materials, technical procedures, benefit plans and regulations.
• Ability to calculate figures and amounts such as discounts, interest, proportions, and percentages.
• Must be able to work in environment with shifting priorities and to handle a wide variety of activities and confidential matters with discretion
• Computer proficiency including Microsoft Office tools and applications.

Responsibilities

• Maintains current knowledge of assigned Plan(s) and effectively applies that knowledge in the payment of claims.
• Processes routine claims which could include medical, dental, vision, prescription, death, Life and AD&D, Workers' Compensation, or disability.
• May provide customer service by responding to and documenting telephone, written, electronic, or in-person inquiries.
• Performs other duties as assigned.

Skills

Customer service

Attention to detail

Team player

Written communication

Education

High school diploma or GED

Tools

Microsoft Office

Job description

Zenith American Solutions is seeking a Claims Processor in the Claims department to provide customer service and process routine health and welfare claims on assigned accounts in compliance with plan guidelines and company policies.

This non-exempt, full-time role requires a high school diploma or GED, at least six months of claims experience, and strong attention to accuracy, integrity, and communication; shifting priorities and confidential information handling are part of the job.