Health & Welfare Claims Specialist

Zenith American Solutions, Inc.; Portland (OR); On-site; USD 42,000 - 54,000; Full time

Job summary

Zenith American Solutions, Inc. is seeking a Claims Processor in Portland, Oregon to provide customer service and process routine health and welfare claims in accordance with plan guidelines and company policies.

The role requires attention to detail, knowledge of benefits claims adjudication, and the ability to manage shifting priorities in a 40-hour, non-exempt position within a collaborative Claims department.

Qualifications

• High school diploma or GED required.
• Six months of experience processing health and welfare claims.
• Basic knowledge of benefits claims adjudication principles and medical/dental terminology (ICD-10, CPT-4).
• Strong work ethic and ability to work in a team.
• Ability to communicate clearly both verbally and in writing.
• Ability to read, analyze, and interpret general business materials, plans and regulations.
• Ability to calculate figures such as discounts and percentages.

Responsibilities

• Maintains knowledge of assigned plans and applies knowledge to claim payments.
• Processes routine health and welfare claims (medical, dental, vision, prescription, etc.).
• Responds to customer inquiries via telephone, written, electronic, or in-person channels.
• Performs other duties as assigned.

Skills

Customer service

Communication

Team player

Microsoft Office

Education

High school diploma or GED

Tools

Microsoft Office

Job description

Zenith American Solutions, Inc. is seeking a Claims Processor in Portland, Oregon to provide customer service and process routine health and welfare claims in accordance with plan guidelines and company policies.

The role requires attention to detail, knowledge of benefits claims adjudication, and the ability to manage shifting priorities in a 40-hour, non-exempt position within a collaborative Claims department.