Also referred to as: Claims Tracking and Reporting Senior Clerk
Requirements and Responsibilities

Claims Processing Clerk, Sr. is responsible for inputting new claims, processing payments, conducting billing research and responding to telephone inquires. Reviews and dispositions more complex claims. Being a Claims Processing Clerk, Sr. determines whether to return, deny, or pay claims according to organizational policies and procedures. Prepares daily reports for claims management team. Additionally, Claims Processing Clerk, Sr. may provide guidance to less experienced claims processors. Requires a high school diploma or its equivalent. Typically reports to a supervisor. The Claims Processing Clerk, Sr. gains or has attained full proficiency in a specific area of discipline. Works under moderate supervision. To be a Claims Processing Clerk, Sr. typically requires 1-3 years of related experience.

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