Remote Temporary Claims Technician II

Summary

Join us at Central California Alliance for Health (the Alliance) as we look forward to bringing on 10 Temporary Claims Technician IIs to support claims processing. This temporary position is intended to last six months, and the training program is month-long and rigorous.

Requirements

• High school diploma or equivalent and two years (or an Associate’s degree and a minimum of one/two years) of relevant experience with claims processing in an automated claim environment; or a combination of education and relevant experience may be qualifying
• Knowledge of: Medical insurance Explanation of Benefits, General office equipment, including personal computer, telephone, photocopier, fax, etc., Windows-based PC systems, including Microsoft Word, Excel, and Outlook
• Ability to: Understand current software programs and screens that are required in the daily processing of claims, Keep current on claims processing practices and procedures

Responsibilities

• Verify, process, and/or adjudicate claims, including applying detailed consideration, standards in pending and releasing claims from pend edits and for proper application of program policy related to claim entry and analysis
• Assists with training new hires and cross-training other Claims Technicians

Benefits

• Medical, Dental and Vision Plans
• Ample Paid Time Off
• 12 Paid Holidays per year
• 401(a) Retirement Plan
• 457 Deferred Compensation Plan
• Robust Health and Wellness Program
• Onsite EV Charging Stations