Claims Processing Clerk jobs in Fort Wayne, IN

Claims Processing Clerk receives and inputs new healthcare claims, processes payments, researches billing issues, and responds to email and telephone inquiries. Evaluates claims and administers payment, denies, or returns claims according to policy provisions and organizational guidelines. Being a Claims Processing Clerk produces routine and ad hoc reports. Requires a high school diploma. Additionally, Claims Processing Clerk typically reports to a supervisor. The Claims Processing Clerk works under the close direction of senior personnel in the functional area. Possesses a moderate understanding of general aspects of the job. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)

Recently Added Claims Processing Clerk jobs

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File Reviewer
  • Elevate Claims Solutions
  • Fort Wayne, IN FULL_TIME
  • Elevate is searching for additional remote contract review staff to assist with commercial and residential claims quality file reviews. Hours are flexible within certain time parameters.

    There are part time and full time contract positions. Compensation is on a 1099 basis, per file, for work performed.

    Position Duties & Responsibilities

    • Reviews claim submissions from the field staff and audits work product for accuracy, professionalism, and adherence to Elevate, carrier, and industry requirements.
    • Packages and provides interim and finished work product to the carriers and advances diaries and / or invoices and closes files as necessary.
    • Alerts management of developing or potential issues on claim files as observed.
    • Alerts management to exceptional performance on claim files as observed.
    • Provides direction and guidance to staff to ensure that they have sufficient knowledge and skill to provide exemplary customer service and resolve claims timely and equitably across all lines of business.
    • Reviews client guidelines in order to ensure adherence to client requirements and policyholder expectations.
    • Conducts closed file audits as assigned to ensure that claims are handled according to company policies and procedures.
    • Assists in design of workflows, processes, and techniques with a focus on continual process development.


    Requirements & Qualifications

    • Three years minimum experience of increasing claims responsibility.
    • Prior file review experience in a claim handling setting.
    • Experience in both carrier and independent adjusting roles is preferred.
    • Experience in commercial and personal lines claims is required.
    • Demonstrated effective verbal and written communication ability.
    • Effective customer service, organization, influence, critical thinking, conflict management, and teamwork skills.
    • Demonstrated self-motivation with the ability to plan, organize, and complete tasks independently without close supervision.
    • FileTrac experience is preferred.
    • Xactimate / Xactanalysis experience is required.
    • Symbility experience is a plus.
    • Complex loss experience is a plus.
  • 1 Day Ago
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File
  • Elevate Claims Solutions
  • Fort Wayne, IN FULL_TIME
  • Job Description Elevate is searching for additional remote contract review staff to assist with commercial and residential claims quality file reviews. Hours are flexible within certain time parameter...
  • Just Posted
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Forklift Operator
  • Bryan Plastics Processing, LLC
  • Bryan, OH FULL_TIME
  • Job Description Bryan Plastics Processing, LLC is looking for a day and night shift forklift operator to work on our production line. You will be responsible for safely moving materials and loading th...
  • 17 Days Ago
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Claims Analyst
  • Stealth Partner Group, LLC
  • Bluffton, IN FULL_TIME
  • Join Our Team as Claims Analyst at Stealth Partner Group, an Amwins Group Company! Are you ready to make a meaningful impact in the dynamic world of insurance? Join Stealth Partner Group, an Amwins Gr...
  • 3 Days Ago
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Claims Examiner
  • Lutheran Hospital of Indiana
  • Fort Wayne, IN FULL_TIME
  • Job Summary: Responsible for the daily adjudication/review of medical, dental, vision, mental health and FSA claims. Claims may be auto-adjudicated or manually processed. Ensures claims are adjudicate...
  • Just Posted
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Claims Attorney
  • Brotherhood Mutual
  • Fort Wayne, IN FULL_TIME
  • Job Title: Claims Attorney FLSA Status: Exempt Job Family: Claims Department: Claims JOB SUMMARY Effectively analyze and resolve serious/complex claims and/or litigation consistent with department sta...
  • 9 Days Ago
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0 Claims Processing Clerk jobs found in Fort Wayne, IN area

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Surgical Technologist
  • Parkview North Hospital
  • Fort Wayne, IN
  • This position is eligible for a sign-on bonus Summary Under the Perioperative leader, assumes responsibility and account...
  • 5/10/2024 12:00:00 AM
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Embedded Firmware Engineer
  • Carrier
  • Fort Wayne, IN
  • Country: United States of America Location: CAI19: UTEC-Huntington, IN 111 E Wayne St Suite 800, Fort Wayne, IN, 46802 U...
  • 5/10/2024 12:00:00 AM
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Underwriter I
  • Brotherhood Mutual
  • Fort Wayne, IN
  • Job Title: Underwriter I FLSA Status: Exempt Job Family & Department: Underwriting Location: Home Office (Fort Wayne, IN...
  • 5/9/2024 12:00:00 AM
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Outside Insurance Sales Associate- Indiana- Remote
  • Allstate
  • Fort Wayne, IN
  • Are you a natural networker? Join Allstates sales organization and you can build a lucrative and rewarding career with t...
  • 5/9/2024 12:00:00 AM
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Intervention Specialist (Moderate/Intensive)
  • Ohio Department of Education
  • Ohio City, OH
  • TERMS OF EMPLOYMENT: Teacher calendar. Salary as per teacher salary schedule. OAK HILLS LOCAL SCHOOL DISTRICT JOB DESCRI...
  • 5/9/2024 12:00:00 AM
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Sales Agent
  • Banc Certified Merchant Services, LLC
  • Fort Wayne, IN
  • Job Description Job Description We have a unique opportunity for the right person! Do you like a challenge? Are you one ...
  • 5/8/2024 12:00:00 AM
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Insurance Benefits Specialist- 100% Remote
  • Global Elite
  • Fort Wayne, IN
  • NOW IS THE BEST TIME TO JOIN FULL-TIME REMOTE COMPLETELY WORK FROM HOME ALL BENEFITS REPRESENTATIVES START AT ENTRY LEVE...
  • 5/8/2024 12:00:00 AM
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Claims Adjuster Trainee
  • Progressive Corp.
  • Fort Wayne, IN
  • Claims Adjuster Trainee **Job Number** : 186809 Join one of FORTUNEs 100 Best Companies to Work For! As a **claims adjus...
  • 5/6/2024 12:00:00 AM
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About Fort Wayne, Indiana

Fort Wayne is a city in the U.S. state of Indiana and the seat of Allen County, United States. Located in northeastern Indiana, the city is 18 miles (29 km) west of the Ohio border and 50 miles (80 km) south of the Michigan border. With a population of 253,691 in the 2010 census, it is the second-most populous city in Indiana after Indianapolis, and the 75th-most populous city in the United States. It is the principal city of the Fort Wayne metropolitan area, consisting of Allen, Wells, and Whitley counties, a combined population of 419,453 as of 2011. Fort Wayne is the cultural and economic c...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Clerk jobs
$35,309 to $42,695
Fort Wayne, Indiana area prices
were up 1.3% from a year ago
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