Claims Processor at Trident. Our client is a healthcare benefits administration company. As a Claims Processor, you will play a pivotal role in ensuring the accuracy and efficiency of health insurance and health share claims processing for our hospital and health care clients.. Key responsibilities include:. Process complex health insurance and health share claims from intake through resolution. Manage claim escalations, billing disputes, and legacy/backlog claim work. Review and audit work completed by offshore claims team members. Identify patterns and flag payment integrity issues. Collaborate with senior leadership on process improvements and workflow efficiency. 2+ years of health insurance or TPA claims processing experience. Experience processing complex health insurance or health share claims end-to-end, from intake through resolution. Experience handling claims escalations, billing disputes, or legacy/backlog claim work. Professional fluency in English. Authorized to work in the United States. Based in the United States. Available to work 8:00am–5:00pm Central Time (CST). Experience collaborating with senior leadership on process improvements or workflow efficiency initiatives. Preferred Qualifications:. Experience reviewing or auditing work completed by an offshore claims processing team. Proficiency using Google Sheets for day-to-day claims processing work. Experience using SAVVOS, IPS, or Healthcloud in a production claims processing environment. Familiarity with health share, self-funded, or employer-sponsored health plans. Company Location: United States.
Claims Processor at Trident