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Claims Processor Associate Jobs in Washington (NOW HIRING)

UCX

Mill Claims Coordinator

Glen Burnie, MD · On-site

$19 - $20/hr

Process mill defect claims by submitting a complete claim form, samples, photos, and other ... Associate's degree in a Business Related Field or minimum of 2 years of work experience in a ...

Marriott International

Claims Adjuster II

Bethesda, MD · On-site

$63K - $92K/yr

Knowledge of claims processing. Preferred * Applicable industry licensing. * Associate in Claims (AIC) or Associate in Risk Management (ARM) preferred. * Two or four year degree from an accredited ...

Marriott

Claims Adjuster II

Bethesda, MD · On-site +1

Knowledge of claims processing. Preferred * Applicable industry licensing. * Associate in Claims (AIC) or Associate in Risk Management (ARM) preferred. * Two or four year degree from an accredited ...

Marriott

Claims Adjuster II

Bethesda, MD · On-site +1

Knowledge of claims processing. Preferred * Applicable industry licensing. * Associate in Claims (AIC) or Associate in Risk Management (ARM) preferred. * Two or four year degree from an accredited ...

Marriott

Claims Unit Manager

Bethesda, MD · Hybrid

... of claims processing, including full claim investigations, evaluation, and resolution ... Marriott HQ is committed to a hybrid work environment that enables associates to Be connected.

Marriott

Claims Unit Manager

Bethesda, MD · Hybrid

... of claims processing, including full claim investigations, evaluation, and resolution ... Marriott HQ is committed to a hybrid work environment that enables associates to Be connected.

CareFirst

Claims Adjuster I (Remote)

Washington, DC · Remote

... operating processes; completing reports, logs, and audit records. ESSENTIAL FUNCTIONS ... The associate is primarily seated while performing the duties of the position. Occasional walking ...

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All JobsClaims Processor Associate JobsClaims Processor Associate Jobs in Washington

Claims Processor Associate information

What is the role of a claims processor?

A claims processor is responsible for reviewing, verifying, and processing insurance claims to determine their validity and appropriate payout. They analyze claim documentation, ensure compliance with policies, and use claims management software to facilitate accurate and timely payments.

Is claims processing a stressful job?

Claims processing can be a stressful job due to the need for accuracy, attention to detail, and meeting deadlines. It often involves handling complex cases and working under pressure, but workload and stress levels vary depending on the employer and individual experience. Developing strong organizational skills and familiarity with claims management software can help manage stress.

What does a Claims Processor Associate do?

A Claims Processor Associate is responsible for reviewing, processing, and verifying insurance claims to ensure they are accurate and comply with policy guidelines. They investigate claim details, communicate with policyholders or medical providers for additional information, and enter claim data into company systems. Their role is crucial in ensuring timely and accurate payments or denials, helping both insurance companies and clients. Attention to detail, strong organizational skills, and excellent communication abilities are important for success in this position.

What are some common challenges faced by Claims Processor Associates, and how can they be effectively managed?

Claims Processor Associates often encounter challenges such as handling a high volume of claims, navigating complex policy details, and meeting strict deadlines. Successfully managing these challenges requires strong organizational skills, attention to detail, and the ability to prioritize tasks effectively. Collaborating closely with team members and regularly communicating with supervisors can also help resolve discrepancies and ensure accuracy. Most organizations provide training and support to help associates stay updated on procedures and regulatory requirements, fostering a supportive work environment.

What is the role of a claims associate?

A claims processor associate reviews and evaluates insurance claims to determine coverage and payout amounts. They verify information, process claims efficiently using claims management software, and ensure compliance with company policies and industry regulations.

What skills do you need to be a claims processor?

A claims processor needs strong attention to detail, excellent organizational skills, and the ability to analyze and interpret data accurately. Proficiency with computer software such as claims management systems and good communication skills are also important for effectively handling claims and coordinating with clients and providers.

What are the key skills and qualifications needed to thrive as a Claims Processor Associate, and why are they important?

To thrive as a Claims Processor Associate, you need strong attention to detail, analytical skills, and a high school diploma or equivalent, with some employers preferring experience in insurance or healthcare. Familiarity with claims management software, data entry systems, and basic office applications is typically required. Excellent organizational skills, clear communication, and the ability to work efficiently under deadlines are essential soft skills for this role. These abilities ensure accurate claims processing, minimize errors, and support timely service for clients and providers.
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What job categories do people searching Claims Processor Associate jobs in Washington look for? The top searched job categories for Claims Processor Associate jobs in Washington are:
What cities in Washington are hiring for Claims Processor Associate jobs? Cities in Washington with the most Claims Processor Associate job openings:
Claims Processor Associate jobs near you
Mill Claims Coordinator

Mill Claims Coordinator

UCX

Glen Burnie, MD • On-site

$19 - $20/hr

Full-time

Posted 10 days ago

Job description

Duties & Responsibilities:

  • Review and revise, as needed, all reported mill claims that fall under manufacturer’s warranties.
  • Process mill defect claims by submitting a complete claim form, samples, photos, and other pertinent documents to the manufacturer, utilizing a standardized mill claim form and procedures.
  • Consistently follow up with vendors on claim status to ensure a 30-day resolution time frame.
  • Develop a strong working relationship with vendor contact and/or vendor sales representative.
  • Maintain an internal portal to track and document all submitted claims.
  • Utilize external resources such as independent inspectors to aid in the claim resolution process.
  • Process all received manufacturer credits to be applied to customer’s account.
  • Utilize authorized credit approval level to drive the resolution of a claim as a policy adjustment and/or to meet service time frame.
  • Using basic accounting principles ensure that all credits are coded accurately and issued correctly.
  • Support the Sales team and work directly with customers in the Mill Claims process.
  • Determine a manufacturer’s warranty issue versus an installation or environment issue.
  • Document all processes and practices regarding mill claims and offer suggestions as needed

Requirements:

  • Exhibit a "customer first" attitude
  • Ability to multitask and demonstrate strong written and oral communication skills.
  • Must be detailed and action oriented and possess strong problem solving & analytical skills
  • Proven accuracy in data entry and verification process
  • Strong computer skills a must including MS Word and Excel. Experience with Dancik preferred
  • Basic math and accounting skills
  • Associate’s degree in a Business Related Field or minimum of 2 years of work experience in a similar field.

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