A company is looking for a HC & Insurance Operations Processing Sr Rep.
Key Responsibilities Process professional claim forms and files by provider Review policies and benefits while ensuring compliance with regulations Adjudicate claims according to defined workflows and maintain quality scores Required Qualifications 3 years of hands-on experience in healthcare claims processing 2+ years of experience using Windows applications and navigating multiple systems High school diploma or GED Experience working in a productivity and quality-focused environment Familiarity with MS Office products, including Outlook, Word, and Excel