ClaimsProcessor2

**Title:** Claims Processor 2 **Department:** Claims **Bargaining Unit:** OPEIU 29 **Grade:** 17 **Position Type:** Non-Exempt **Hours per Week:** 40 **Position Summary** The Claims Processor 2 provides customer service and processes routine health and welfare claims on assigned accounts according to plan guidelines and adhering to Company policies and regulatory requirements. _" Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role."_ **Key Duties and Responsibilities** * Maintains current knowledge of assigned Plan(s) and effectively applies that knowledge in the payment of claims. * Processes routine claims which could include medical, dental, vision, prescription, death, Life and AD&D, Workers' Compensation, or disability. * May provide customer service by responding to and documenting telephone, written, electronic, or in-person inquiries. * Performs other duties as assigned. **Minimum Qualifications** * High school diploma or GED. * One year of experience as Level 1 Claims Processor. * Intermediate knowledge of benefits claims adjudication principles and procedures and medical and/or dental terminology and ICD-10 and CPT-4 codes. * Possesses a strong work ethic and team player mentality. * Highly developed sense of integrity and commitment to customer satisfaction. * Ability to communicate clearly and professionally, both verbally and in writing. * Ability to read, analyze, and interpret general business materials, technical procedures, benefit plans and regulations. * Ability to calculate figures and amounts such as discounts, interest, proportions, and percentages. * Must be able to work in environment with shifting priorities and to handle a wide variety of activities and confidential matters with discretion * Computer proficiency including Microsoft Office tools and applications. **Preferred Qualifications** * Experience working in a third-party administrator. Please note th