Claims Clerk reviews insurance claim forms and supporting documents for completeness and accuracy and obtains missing information as necessary. Inputs claim information into system for processing. Being a Claims Clerk verifies coverage eligibility. Calculates settlement amounts according to guidelines. Additionally, Claims Clerk processes routine claim payments. Requires a high school diploma or equivalent. Typically reports to a supervisor. The Claims Clerk works under the close direction of senior personnel in the functional area. Possesses a moderate understanding of general aspects of the job. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)
Wilcox Companies is seeking an experienced Health Insurance Claims Manager to oversee the claims processing and adjudication for our health insurance division. As a Health Insurance Claims Manager, you will be responsible for ensuring that all claims are processed accurately, efficiently, and in compliance with state and federal regulations. You will also oversee a team of claims specialists and ensure that they are meeting performance goals and providing high-quality customer service to our members.
Key Responsibilities:
If you are a motivated and experienced Health Insurance Claims Manager looking for a challenging and rewarding opportunity, please submit your application today. Wilcox Companies is an equal opportunity employer and welcomes applicants from all backgrounds.