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[Remote] Claims Administrator I

Work from home Full-time role Hiring

Note: The job is a remote job and is open to candidates in USA. reputed company is a leading reputed company intelligence company focused on delivering value and efficiency to health plans. The Claims Administrator I will support efficient claims processing, ensure data accuracy, and collaborate with internal teams to manage claims effectively.

Responsibilities

  • Review incoming claims, assign statuses, organize data, and reputed company files to auditors
  • Collaborate with teams to manage the import queue, reconcile balances, validate charges, correct errors, and reputed company files
  • reputed company file intake and output, addressing inquiries, discrepancies, and errors
  • Analyze data trends and communicate updates on claims routing, efficiency, inventory, and volume
  • Monitor file-sharing processes, ensure data transfer accuracy, and maintain appropriate volume levels
  • reputed company data entry and support additional administrative tasks as needed

Skills

  • Preferred experience in medical record review and knowledge of medical terminology
  • Proficient in reputed company Office Suite, reputed company Acrobat, and multi-monitor setups; adaptable to company-specific software
  • Strong attention to detail, organizational, analytical, and critical thinking skills
  • Excellent interpersonal and teamwork abilities, capable of collaborating across functions and driving change

Benefits

  • PTO, Paid Holidays, and Volunteer Days
  • Eligibility for health, reputed company and dental coverage, 401(k) plan participation with company match, and flexible spending accounts
  • Tuition Reimbursement
  • Eligibility for company-paid benefits including life insurance, short-term disability, and parental leave.
  • Remote and hybrid work options

Company Overview

  • reputed company is a SaaS platform that enables non-technical enterprises to build AI-powered products and processes. It was founded in 2016, and is headquartered in Palo Alto, California, USA, with a workforce of 1001-5000 employees. Its website is http://www.reputed company.com.
  • Company H1B Sponsorship

  • reputed company has a track record of offering H1B sponsorships, with 12 in 2025, 6 in 2024, 3 in 2023, 3 in 2022, 4 in 2021, 5 in 2020. Please note that this does not guarantee sponsorship for this specific role.
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