[Hiring] Claims Processor @MEDLOGIX, LLC

Role Description

As a processor, you will be responsible for reviewing and processing insurance claims by:

• Verifying policy coverage
• Gathering necessary information
• Evaluating claim validity
• Determining the appropriate payout amount based on policy terms
• Ensuring all documentation is complete and accurate while adhering to company guidelines and regulations

You will often interact with policyholders, agents, and other stakeholders to:

• Facilitate the claims process efficiently
• Ensure compliance with HIPAA regulations, including confidentiality

Ability to work in multiple claim systems and provide support to multiple departments, including litigation and legal departments.

Qualifications

• Excellent organizational skills and attention to detail
• Conducts interactions with sensitivity, maturity, and professionalism
• Knowledge of claims systems and procedures
• Excellent written and verbal communication skills
• Ability to maintain confidential information
• Comfortable in a high-volume, fast, team-oriented environment
• Proficient in Microsoft Office Suite

Requirements

• Bachelor’s degree or relevant experience required
• Prior carrier or adjuster experience
• Knowledge of New Jersey No Fault PIP regulation, 2-3 years preferred
• Minimum 2 years medical billing or claims processing background

Company Description

Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our medlogix® technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients’ needs as our top priority. Medlogix has a powerful mix of medical expertise, proven processes, and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and increased productivity for the auto insurance and workers’ compensation insurance carriers; third party administrators (TPAs); and government entities we serve.