Claims Examiner
- Employer
- Sparks Group
- Location
- Silver Spring, MD
- Closing date
- May 24, 2019
View more
- Industry
- Insurance
- Function
- Administrative, Other
- Hours
- Full Time
Job Details
Sparks Group has partnered with a prominent organization in Silver Spring that is looking to hire a Claims Examiner to support members of a dynamic insurance environment. The ideal candidate will possess outstanding organization, attention to detail and analytical skills as well as the ability to anticipate problems and create plans to overcome issues.
Responsibilities:
- Review Stop Loss claims to determine receipt of documents necessary to support the requirements of the policy for eligibility and benefits.
- Develop written requests for additional information to Claims Administrators.
- Consistently review files to determine appropriate follow-up actions.
- Adjudicate Claims according to policy provisions and generate payment requests timely and accurately.
- Assist claims support team with other duties as needed.
Qualifications:
- High school diploma or equivalent work experience
- At least 2 years administrative experience, preferably in an insurance environment
- Microsoft Office proficiency
- Working knowledge of insurance terminology, medical terminology, ICD-9, CPT-4, and HCSPC coding required
Qualified candidates should send their resume AND call Sparks Group for additional details. Please note, resume must include a valid email address in order to be considered. We look forward to discussing your background, your current job search, and your potential career path with Sparks Group!
Sparks Group is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, pregnancy, citizenship, family status, genetic information, disability, or protect veteran status.
Company
Bringing the Best People and the Best Companies Together Since 1970.
Sparks Group (formerly SPARKS, Sparks IT Solutions, and Sparks Personnel) is the Washington DC Area's leading temporary staffing and full-time recruiting services provider. Whether you are seeking your next opportunity or looking to add talent, Sparks Group is the ideal partner for you! Each of our four divisions (Sparks Office, Sparks Accounting & Finance, Sparks IT, and Sparks Creative) specializes in placing professionals in temporary/contract, temporary-to-full-time, and full-time roles across a diverse array of staffing categories, positions and levels including: office/administrative, customer service, human resources and talent acquisition, legal support, government and cleared personnel, mortgage/banking, accounting and finance, contracts and procurement, information technology and creative/marketing.
Sparks Group brings over four decades of experience placing professionals in challenging and rewarding positions at many of the area’s most prestigious organizations. Our primary focus is presenting opportunities that match each candidate’s skill-sets, experience levels, career objectives, and growth needs. Sparks Group has regularly ranked as one of the top US staffing and recruiting firms having been named to Inavero’s Best of Staffing Lists® for Client and Employee Satisfaction (2012-2017). Additionally, Sparks Group is proud to have been recently selected for other awards Staffing Industry Analysts’ 2017 Best Staffing Firms to Work For, Washington Business Journal Best Places to Work (2017), the Washington Post’s Top Workplaces® List (2017, 2014), Forbes® Best Professional Recruiting Firms (2017), and the National Capital Business Ethics Award.
- Website
- http://www.sparksgroupinc.com/
- Telephone
- 3012792300
- Location
-
700 King Farm Blvd.
Suite 100
Rockville
MD
20850-5736
US
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