[Hiring] Claims Processor @MEDLOGIX, LLC
Role Description
As a processor, you will be responsible for reviewing and processing insurance claims by:
- Verifying policy coverage
- Gathering necessary information
- Evaluating claim validity
- Determining the appropriate payout amount based on policy terms
- Ensuring all documentation is complete and accurate while adhering to company guidelines and regulations
You will often interact with policyholders, agents, and other stakeholders to:
- Facilitate the claims process efficiently
- Ensure compliance with HIPAA regulations, including confidentiality
Ability to work in multiple claim systems and provide support to multiple departments, including litigation and legal departments.
Qualifications
- Excellent organizational skills and attention to detail
- Conducts interactions with sensitivity, maturity, and professionalism
- Knowledge of claims systems and procedures
- Excellent written and verbal communication skills
- Ability to maintain confidential information
- Comfortable in a high-volume, fast, team-oriented environment
- Proficient in Microsoft Office Suite
Requirements
- Bachelor’s degree or relevant experience required
- Prior carrier or adjuster experience
- Knowledge of New Jersey No Fault PIP regulation, 2-3 years preferred
- Minimum 2 years medical billing or claims processing background
Company Description
Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our medlogix® technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients’ needs as our top priority. Medlogix has a powerful mix of medical expertise, proven processes, and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and increased productivity for the auto insurance and workers’ compensation insurance carriers; third party administrators (TPAs); and government entities we serve.
