Claims Processor

Full job description

Description:

Member Experience:

Supports the achievement of member outcomes and goals by delivering support services to employees, providers, members and/or other stakeholders.

Identifies and/or participates in efforts to continuously improve the quality of support services.

Understands his/her connection to our member-centered culture.

• Participates in efforts to enhance work experiences.
• Actively seeks and participates in training and development opportunities.
• Provides honest feedback and ideas to help CCI become a more competitive employer.
• Participates in team, department, and site activities, as appropriate.

Operations

• Supports the achievement of operational goals by adhering to operational standards, and complying with contractual, regulatory, and CCI policy requirements and expectations.
• Identifies and elevates ideas for operational improvement.
• Accurately enters data into system and resolves routine edits up to assigned complexity and according to established department policies and procedures.

Skills:

Health care, Electronic health record, Electronic medical record, medicare, medicaid

Top Skills Details:

Health care, Electronic health record, Electronic medical record, medicare, medicaid

Additional Skills & Qualifications:

healthcare, insurance, medicaid

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.

Diversity, Equity & Inclusion

At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:

• Hiring diverse talent
• Maintaining an inclusive environment through persistent self-reflection
• Building a culture of care, engagement, and recognition with clear outcomes
• Ensuring growth opportunities for our people

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email for other accommodation options.