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ProAssets LLC

Insurance Claims Specialist

Certificates :

Division/Department : Claims

Skills : Communication, Active listening, Decision-making, Prioritization

Experience : 3 Years

Reports to : Desiré Rodríguez

Shift type : FullTime   |  Salary type : Exempt

2 years ago

Date : 11/21/2023

Job Description :

ProAssets is hiring!

Requirements:

  • Bachelor's degree or any combination of education and experience which would provide an equivalent background.
  • Minimum 3 year of experience in Claims environment preferred. (Health, Auto, Disability, among other industries.)
  • Good oral and written communication skills (English/Spanish)
  • Experience using PC, database system, and related software (word processing, spreadsheets, etc.) strongly preferred.
  • Excellent critical thinking and decision-making skills.

Responsibilities:

  • Review and process claims for accuracy and completeness.
  • Verify insurance coverage and eligibility.
  • Analyze evidence and documentation to determine claim validity.
  • Apply appropriate coding and billing guidelines to ensure accurate claim submission.
  • Investigate and resolve claim discrepancies or issues.
  • Collaborate with providers, insurance companies, and other stakeholders to gather necessary information.
  • Maintain organized records of claims, payments, and related documentation.

EEO - EQUAL EMPLOYMENT OPPORTUNITY