Medical Claims Adjudicator - Customer-Focused Pro

American Benefit Plan Administrators, Inc.; Maryland; On-site; USD 22,000 - 31,000; Full time

Benefits offered by this job

Health insurance

Vision benefits

Dental coverage

401(k) retirement plan

Paid time off

Job summary

Zenith American Solutions is seeking a Medical Claims Adjustor in Maryland to process routine health and welfare claims and support customer inquiries. You will apply plan guidelines, use ICD-10 and CPT-4 coding, and protect PHI/PII while maintaining accuracy and compliance.

The role emphasizes attention to detail, integrity, and a team-oriented approach within a fast-paced environment. Flexible, supportive benefits and a strong service culture are highlighted.

Qualifications

• 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.
• Ability to read, analyze, and interpret general business materials, technical procedures, benefit plans and regulations.

Responsibilities

• Process routine health and welfare claims.
• Provide customer service by sending out pending letters.
• Maintain current knowledge of assigned plans and apply it to claims payment.
• Handle confidential information with discretion.

Skills

Communication

Benefits interpretation

Team player

Integrity

Education

High school diploma or GED

Tools

Microsoft Office

Job description

Zenith American Solutions is seeking a Medical Claims Adjustor in Maryland to process routine health and welfare claims and support customer inquiries. You will apply plan guidelines, use ICD-10 and CPT-4 coding, and protect PHI/PII while maintaining accuracy and compliance.

The role emphasizes attention to detail, integrity, and a team-oriented approach within a fast-paced environment. Flexible, supportive benefits and a strong service culture are highlighted.