Claims Administrator

Claims Administrator - Bellingham, WA

The Claims Administrator will be the first point of contact for our member and healthcare providers from a claim's payment and health plan benefits perspective. The Claims Administrator will handle communications via phone, fax, web, or other methods. Depending on experience, the associate will primarily adjust members health plan insurance claims according to client/employer benefit plan designs by entering and processing claims in our systems database. The ideal candidate will have a commitment to accuracy, the ability to be a team player and the willingness and capability to perform as a leader. The position offers opportunity for growth within various roles of the claims department and throughout the organization.

Below are some of the Duties/Responsibilities of a Claims Administrator at CAS:

• Responsible for maintaining 15-20 groups at any given point in time.
• Updating/Maintaining various portals.
• Invoice tracking, processing, and auditing.
• Review/reprocess incorrectly processed claims.
• Process EDI’s, HRA/refunds, FSA and HSA.
• Open/process Subrogation/Accident Reports as necessary.
• Process Pended Claims.
• Process completed accident reports, appeals, pre-certs and questionnaires.

QUALIFICATIONS / REQUIREMENTS

High School diploma or GED equivalent.

Associate’s Degree or Bachelor's Degree preferred.

*Minimum 3 years of experience processing or submitting claims required.

*Previous Account Receivable, Payable, or Billing experience highly preferred.

Excellent interpersonal skills; must have a positive and upbeat attitude.

Must have excellent computer skills and be able to navigate windows and database systems efficiently.

Must be a hard worker, self-starter and problem solver.

Demonstrated excellence in organization and time management skills; be able to perform multiple tasks.

Must be able to function efficiently and multi-task in a team environment.

Previous experience with legal documentation highly desired.

• *FULL-TIME ONSITE POSITION IN BELLINGHAM, MUST BE ABLE TO PASS A BACKGROUND CHECK*

Job Type: Full-time

Pay: $21.00 - $24.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Work Location: In person