What are the responsibilities and job description for the PAR - Claims Representative II position at Medical Mutual?
Job Description - PAR - Claims Representative II (2400592)
Job Description
PAR - Claims Representative II-(2400592)
Description
Job Summary :
Processes claims in accordance with benefit contracts, plan policies and production / quality goal requirements.Performs administrative duties as requested by management.
Responsibilities :
- Processes claims edits from receipt to completion and adheres to quality standards to meet Company and departmental goals.
- Utilizes claims and ancillary systems and adheres to processing procedures resulting in the finalization of basic claims edits.
- Maintains working knowledge of policies and procedures and attends additional training as needed.
- Performs routine claim adjustments.
- Performs other duties as assigned.
Qualifications
Qualifications
Education and Experience :
Technical Skills and Knowledge :
Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes :
A Great Place to Work :
Excellent Benefits and Compensation :
An Investment in You :
About Medical Mutual :
Medical Mutual’s status as a mutual company means we are owned by our policyholders, not stockholders, so we don’t answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us.
There’s a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind to more than 1.2 million Ohioans.
We’re not just one of the largest health insurance companies based in Ohio, we’re also the longest running. Founded in 1934, we’re proud of our rich history with the communities where we live and work.
At Medical Mutual and its family of companies we celebrate differences and are mutually invested in our employees and our community. We are proud to be an Equal Employment Opportunity and Affirmative Action Employer. Qualified applicants will receive consideration for employment regardless of race, color, religion, sex, sexual orientation, gender perception or identity, national origin, age, marital status, veteran status, or disability status.
We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.
Primary Location
US-OH-Toledo
7 - General Staff
Organization
Paramount
Schedule
Regular
Shift
Standard
Employee Status
Individual Contributor
Job Type
Full-time
Job Level
Day Job
Job Posting
Feb 27, 2025, 1 : 58 : 12 PM
Salary : $5,250
