Benefit Adjuster I

American Fidelity Assurance Company

Oklahoma City, US
On-site
Process claims with routine judgment
Communicate with customers and providers
Work in a paperless environment
Evaluates and processes claims such as Diagnostic Testing, Wellness, Physician Expense, URM, GAP, Hospital Indemnity, Medlink, Dental, Triage/Incomplete or Pregnancy claims in accordance with Company policy terms

Job Summary

  • Evaluates and processes claims such as Diagnostic Testing, Wellness, Physician Expense, URM, GAP, Hospital Indemnity, Medlink, Dental, Triage/Incomplete or Pregnancy claims in accordance with Company policy terms.
  • Provides appropriate verbal and/or written communication to internal and external Customers in a positive and knowledgeable manner to ensure a high standard of Customer service.
  • Acts as a direct contact and communicates with Customers and medical providers in a positive, knowledgeable and professional manner, providing them with direction and assistance in all facets of insurance coverage and needs.

Matching Summary

Evaluates and processes claims such as Diagnostic Testing, Wellness, Physician Expense, URM, GAP, Hospital Indemnity, Medlink, Dental, Triage/Incomplete or Pregnancy claims in accordance with Company policy terms.

Skills & Requirements

Must-have

  • Process claims with routine judgment
  • Communicate with customers and providers
  • Work in a paperless environment
  • Handle fast-paced environment

Nice-to-have

  • Positive and knowledgeable manner
  • Professional attitude
  • World-class customer service

Key Requirements

  • High school diploma or GED
  • Good medical terminology preferred
  • Good understanding of anatomy and physiology
  • Good contract knowledge
  • Familiarity with CPT and ICD10 coding
  • Good analytical skills and judgment

Work Rights

Not specified

Tailored Resume

Cover Letter