Senior Claims Processor
2 - 5 years
Indianapolis, IN
Full-time
Onsite
1 month ago
About the role
Company Description
Founded in 2008 and based in Indianapolis, Northwind Health Company provides comprehensive employer-funded health solutions, including third-party administration, pharmacy benefit management, pharmacy services, and chronic disease management. Northwind is recognized as an industry pioneer, known for driving significant cost savings and improving health outcomes for its clients. The company's innovative approach is focused on minimizing wasteful spending and optimizing member health, ensuring value for organizations and their employees.
Role Description
This is a full-time on-site role located in Indianapolis, IN, for a Senior Claims Processor. Responsibilities include accurately reviewing, processing, and adjudicating insurance claims while ensuring compliance with company policies and regulatory standards. The Senior Claims Processor will validate claim information, resolve discrepancies, maintain up-to-date records, and provide exceptional customer service by addressing inquiries and resolving claim-related issues. Collaborating with internal teams to streamline processes and ensure efficiency is also a critical part of this role.
Qualifications
Founded in 2008 and based in Indianapolis, Northwind Health Company provides comprehensive employer-funded health solutions, including third-party administration, pharmacy benefit management, pharmacy services, and chronic disease management. Northwind is recognized as an industry pioneer, known for driving significant cost savings and improving health outcomes for its clients. The company's innovative approach is focused on minimizing wasteful spending and optimizing member health, ensuring value for organizations and their employees.
Role Description
This is a full-time on-site role located in Indianapolis, IN, for a Senior Claims Processor. Responsibilities include accurately reviewing, processing, and adjudicating insurance claims while ensuring compliance with company policies and regulatory standards. The Senior Claims Processor will validate claim information, resolve discrepancies, maintain up-to-date records, and provide exceptional customer service by addressing inquiries and resolving claim-related issues. Collaborating with internal teams to streamline processes and ensure efficiency is also a critical part of this role.
Qualifications
- Proficiency in claims processing, documentation, and analysis
- Strong attention to detail, accuracy, and ability to work independently
- Knowledge of regulatory compliance related to healthcare or insurance claims
- Excellent communication and customer service skills
- Familiarity with claims management systems and software
- Problem-solving skills and ability to resolve complex claim discrepancies
- Previous experience in a similar role and/or healthcare-related field preferred
- Bachelor’s degree in Business Administration, Health Management, or a related field is an advantage
Skills
Hospitals and Health Care