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Claims Specialist

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POST DATE 8/31/2016
END DATE 10/18/2016

AppleOne Phoenix, AZ

Company
AppleOne
Job Classification
Full Time
Company Ref #
23172417.1225
AJE Ref #
576031358
Location
Phoenix, AZ
Job Type
Regular
Required Licenses/Certifications
df-aj

JOB DESCRIPTION

APPLY
Position has just opened up for experienced claims processor/analyst. Company is a Third Party Administrator (TPA) in the North Valley for Employer Group Health Plans and needs someone who has full working knowledge of how Self-funded plans are administered. Must be able to read and understand the Plan Document of each employer plan and pay the claims according to its Plan Document (Per the Plan Sponsor {Employer}). Claims are data entered into the claims system and re-priced before reaching the claims processor. The claims processor is responsible for verifying and validating the claim prior to paying or denying claims. In addition, the claims analyst provides Customer Service to the Employees and Providers of the groups he or she administers. Must know how to verify and validate the claim from start to finish. We are an equal employment opportunity employer and will consider all qualified candidates without regard to disability or protected veteran status.