Health Claims Specialists

What you will be doing as a Claims Examiner:Work independently, processing claims via data entry for 90% of your day.Be responsible for effectively adjudicating claims to meet production, quality, and other metrics in accordance with policy/procedures and regulatory guidelinesFollow up on claims needing additional informationRefer problem claims to a Lead and/or auditor for additional reviewMake sure that the integrity of the information is accurate and kept private according to HIPPA guidelinesWork with specific softwareMay be assigned special projects When you join us, you’ll enjoy:Pay rate of $13.50/hour with the opportunity to bonus an additional $1500 a month.Medical, dental, and vision plans.Paid training and PTO (be sure to ask about our Global Flexible Vacation Policy).Company-provided equipment.Advancement opportunities – 80% of our frontline leaders have been promoted from within.Monthly rewards & recognition programs.Employee Discounts.EAP and Health and Wellness programs including a personal trainer dedicated to Sutherland.Weekday schedule, Monday – Friday 8:30 AM – 5:00 PM EST.