Health Insurance Claims Adjuster (Remote)

ALTA IT Services, LLC; Fairfax (VA); Remote; Full time

Job summary

ALTA IT Services is looking for a skilled Claims Adjuster for a remote, contract-to-hire role. This position involves ensuring accurate processing of insurance claims, requiring strong analytical skills and attention to detail. The ideal candidate will have at least 5 years of experience in claims handling and a solid understanding of the insurance industry practices.

Qualifications

• Minimum 5 years of insurance claims handling experience required.
• Comprehensive knowledge of claims systems and procedural guidelines.
• Experience with inter-plan claim processing is a plus.

Responsibilities

• Investigate and evaluate insurance claims and perform necessary adjustments.
• Maintain and update claims audit records accurately.
• Resolve standard and complex claims through appropriate methods.

Skills

Analytical skills

Attention to detail

Communication skills

Problem-solving

Education

High School Diploma or GED

Job description

Health Insurance Claims Adjuster (Remote)

Health Insurance Claims Adjuster (Remote)

19 hours ago Be among the first 25 applicants

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ALTA IT Services is seeking a skilled Claims Adjuster for a contract-to-hire opportunity with one of our health insurance clients. This role involves investigating and adjusting insurance claims to ensure they are processed accurately, efficiently, and in compliance with company procedures and regulatory guidelines. The ideal candidate will have strong analytical capabilities, attention to detail, and a solid understanding of insurance claims practices.



Pay: $26.75

100% Remote

Job Title: Claims Adjuster

Location: Remote



Type: Contract

Compensation: $26.75

Contractor Work Model: Remote

ALTA IT Services is seeking a skilled Claims Adjuster for a contract-to-hire opportunity with one of our health insurance clients. This role involves investigating and adjusting insurance claims to ensure they are processed accurately, efficiently, and in compliance with company procedures and regulatory guidelines. The ideal candidate will have strong analytical capabilities, attention to detail, and a solid understanding of insurance claims practices.



Pay: $26.75

100% Remote

Essential Functions:

• 
  

  Investigate and evaluate insurance claims, performing adjustments as necessary, while ensuring all actions are within assigned authority levels and in accordance with standard procedures and company policies.

  
  
  
• 
  

  Maintain and update claims audit records by accurately entering, verifying, and securing claim-related data.

  
  
  
• 
  

  Resolve both standard and complex claims through appropriate adjudication methods, including payment or denial.

  
  
  
• 
  

  Compile and analyze claims data to support internal audit processes and identify trends or process improvement opportunities.

  
  
  
• 
  

  Participate in training sessions and development activities to enhance job knowledge and remain current with industry standards.

  
  
  
  
  
  Qualifications:
  
  

  Education:

  
  
  
  
  
  • 
    

    High School Diploma or GED required.

    
    
    
    
    

    Experience:

    
    
    
    
    
    • 
      

      Minimum 5 years of insurance claims handling experience.

      
      
      
    • 
      

      Comprehensive knowledge of claims systems, policies, and procedural guidelines.

      
      
      
      
      
      Preferred Qualifications:
      
      

      Knowledge, Skills, and Abilities:

      
      
      
      
      
      • 
        

        Experience with inter-plan or multi-plan claim processing systems is a plus.

        
        
        
      • 
        

        Strong analytical skills and the ability to interpret data and identify anomalies.

        
        
        
      • 
        

        Excellent communication skills, both written and verbal.

        
        
        
      • 
        

        Effective problem-solving abilities to assess and resolve a variety of claim-related issues.

        
        
        
      • 
        

        High attention to detail and accuracy in processing and documentation.

        
        
        
        
        
        
        
        

        Equal Opportunity Statement:
        
        ALTA IT Services is an Equal Opportunity Employer. We are committed to building a diverse and inclusive workplace and encourage all qualified individuals to apply.
        
        
        
        #M2

        
        
        
        Ref: #855-IT Baltimore

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Contract

Job function

• Job function

  Finance and Sales

• Industries

  Staffing and Recruiting

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