Medical Claims Adjuster for Addison Group

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Medical Claims Adjuster Opportunity at Addison Group in Denver, CO

Addison Group is currently seeking experienced Medical Claims Adjusters to join their growing team. This full-time position offers the flexibility of working from home and comes with attractive benefits. If you have a solid understanding of the adjudication process, this could be an ideal role for you.

Key Responsibilities:

  • Claims Processing: Accurately evaluate and process Cancer, Supplemental Medical, and/or Disability claims, ensuring compliance with insurance laws, state mandates, and plan revisions.
  • Customer Interaction: Communicate effectively with customers and medical providers, providing guidance on insurance coverage and related needs.
  • Call Flow Certification: Obtain and maintain necessary certifications for handling call flows.
  • Customer Service: Deliver exceptional service in all customer interactions, both internal and external.

Required Qualifications:

  • Education: High school diploma or equivalent.
  • Skills:
    • Proficient in 10-key data entry.
    • Strong analytical abilities.
    • Excellent verbal and written communication.
    • Ability to maintain a professional attitude and adapt to a flexible work schedule, including potential overtime.

This role is well-suited for individuals who are prompt, reliable, and committed to providing top-tier service in a fast-paced environment.

For more details and to apply, visit the Addison Group Denver Office website.

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