Company Overview
[$COMPANY_OVERVIEW]
Role Overview
We are looking for a detail-oriented Junior Health Insurance Adjuster to join our claims team at [$COMPANY_NAME]. In this role, you will assist in the evaluation and processing of health insurance claims, ensuring accurate and efficient handling of requests while adhering to company policies and industry regulations.
Responsibilities
- Review and analyze health insurance claims for accuracy and compliance with company policies and regulatory requirements
- Assist in the investigation of claims by gathering necessary documentation and information from various sources
- Communicate effectively with policyholders, healthcare providers, and internal teams to resolve claim issues
- Maintain detailed records of claims activities and status updates
- Collaborate with senior adjusters to identify trends in claim submissions and suggest process improvements
- Stay updated on industry regulations and best practices to ensure compliance
Required and Preferred Qualifications
Required:
- Associate degree or equivalent experience in insurance, healthcare, or a related field
- Strong analytical skills with attention to detail
- Excellent verbal and written communication abilities
- Ability to handle multiple tasks and prioritize effectively in a fast-paced environment
Preferred:
- Previous experience in claims processing or customer service within the insurance sector
- Familiarity with health insurance policies and terminology
- Proficient in using claims management software and Microsoft Office Suite
Technical Skills and Relevant Technologies
- Knowledge of claims processing systems and software
- Understanding of medical coding and billing procedures
- Proficiency in data entry and record-keeping
Soft Skills and Cultural Fit
- Strong problem-solving skills and a proactive approach to challenges
- Ability to work collaboratively within a team and contribute to a positive work environment
- Empathetic and customer-focused mindset when dealing with policyholders
- Willingness to learn and adapt in a rapidly changing industry
Benefits and Perks
Annual salary range: [$SALARY_RANGE]
Additional benefits may include:
- Health, dental, and vision insurance
- Retirement savings plan with company match
- Generous paid time off policy
- Professional development opportunities
- Flexible work arrangements
Equal Opportunity Statement
[$COMPANY_NAME] is committed to diversity in its workforce and is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, creed, gender, national origin, age, disability, veteran status, sex, gender expression or identity, sexual orientation, or any other basis protected by applicable law.
Location
This role is remote within [$COMPANY_LOCATION].
We encourage applicants from diverse backgrounds and experiences to apply, even if you don't meet all the qualifications outlined. Your unique perspectives and skills can contribute to our team's success.