Job Description
Description We are looking for a Claims Associate to join our Insurance team in Sunrise, Florida on a Contract basis. This position supports the medical claims process from initial intake through review and communication, while helping ensure accurate, timely, and compliant handling of member and provider information. The ideal candidate brings strong knowledge of medical claims, billing practices, and customer service, along with the ability to work efficiently in a fast-paced office environment.
Responsibilities:
• Open and establish new medical claims, prepare required documentation, digitize incoming materials, and move claims forward for review and processing.
• Communicate with healthcare providers to secure missing records or supporting paperwork needed to complete claim evaluation accurately.
• Assess submitted claims against applicable benefit plans and determine whether services qualify for coverage.
• Confirm eligibility and coverage details through inte...
Responsibilities:
• Open and establish new medical claims, prepare required documentation, digitize incoming materials, and move claims forward for review and processing.
• Communicate with healthcare providers to secure missing records or supporting paperwork needed to complete claim evaluation accurately.
• Assess submitted claims against applicable benefit plans and determine whether services qualify for coverage.
• Confirm eligibility and coverage details through inte...