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Job Summary

Company
Zenith Administrators
Location
DeForest, WI 53532
Industries
Insurance
Business Services - Other
Other/Not Classified
Job Type
Full Time
Employee
Years of Experience
2+ to 5 Years
Education Level
High School or equivalent
Career Level
Experienced (Non-Manager)
Salary

Full-Time, 35 hours/week
Job Reference Code
104-2009

Medical Claims Examiner (TPA/Insurance)

About the Job

Zenith Administrators is a large, national third party administrator committed to consistently meeting or exceeding our client expectations.  We provide a full range of employee benefits, general administration and computer services to over 300 multi-employer, single employer and public employer client organizations.  In business since 1963, we now have 900+ employees located in 25 offices throughout the United States.

 

We are currently recruiting for an experienced Medical Claims Examiner for our Madison, WI office.  You will be responsible for processing all types of claims for multiple accounts which could include Life, AD&D, Short-Term Disability, Time Loss, Medical, Workers’ Compensation, and Death claims for active members and retirees meeting production and quality standards.  You will also respond to telephone (30-50 calls/day), written and walk-in inquiries regarding explanation of benefits, eligibility, claims status, etc.; bring claims to satisfactory conclusion by researching and communicating information about appealed, questionable or denied claims; you will also process voids, stop payments and refunds online to adjust claims that have been processed incorrectly.  .

 

The ideal candidate must have a high school diploma and a minimum of two years experience processing all claim types through which incumbent has demonstrated good judgment and thorough knowledge of claims adjudication.  Also requires proficient computer skills; ability to type minimum 45 wpm; good math aptitude; effective oral and written communication skills, familiarity with the insurance/TPA business and ability to pass required skills testing.  Taft-Hartley experience preferred.  This position is hourly, under a union contract, and has a full-time schedule of 35 hours/week.  Zenith provides a friendly, casual working environment with competitive wages and good benefits.  For consideration please send resume and cover letter, referencing Job #104-2009 to careers@zenithadmin.com or fax to (206) 216-3486, www.zenithadmin.com, EOE.

 

 
 

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Contact Information

Zenith Administrators

Fax:  206-216-3486