Claims Adjudicator

Position Type
Full-Time/Regular

It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.

**Job Summary:**

Responsible for the accurate and timely processing of claims. Must meet published quality and productivity standards. Also, responsible for simple adjustments to previously processed claims.

Our Investment in You:

· Full-time remote work

· Competitive salaries

· Excellent benefits

**Key Functions/Responsibilities:**

· Evaluates and processes claims in accordance with company policies and procedures according to productivity and quality standards.

· Interprets and processes routine and less complex claims including CMS 1500 and UB04.

· Reviews and analyzes data from system-generated reports f...