Claims Examiner/Processor
US Tech Solutions
**Duration: 06 months with possible extension**
**Hybrid, 1-2x per week 5615 Highpoint Dr. Irving TX 75038 - moving to new building in August, still Irving**
**Schedule: M-F, 8-4**
**Summary:**
+ P **rocesses less complex or small standard claims to ensure accurate and timely completion.**
**Primary job duties:**
+ Enters insurance claims received electronically or in written form.
+ Answers incoming customer calls regarding claim processing.
+ Documents claim and associated history.
+ Evaluates available information to validate straightforward basic claims.
+ Verifies policyholder information, policy effective dates, premium status and verification of claim eligibility.
+ Sends claim form to claimant for updating, correction or completion.
+ Identifies need for additional information; contacts appropriate source to obtain needed information.
+ Verifies beneficiary or claimant information if claim is warranted. Identifies payment amount and obtains required management approvals for payment.
+ Processes payment.
+ Advises claimant of status and resolution of claim.
+ Escalates claimant concerns as appropriate.
**Basic Qualifications:**
+ Minimum 2-3 years’ experience of claims.
+ Experience working with insurance and/or medical terminology.
+ Experience working with appropriate claims processing procedures and documentation.
**Education:**
+ High school diploma or G.E.D.
**About US Tech Solutions:**
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com (http://www.ustechsolutionsinc.com) .
US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
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