Claims Examiner

It's a great time to put the strength of Coventry behind your career!

Coventry Health Care, a national leader in managed health care, is currently seeking a TECHNICAL CLAIMS SPECIALIST for our Rockville, MD office. The essential responsibilities are as follows:

·Reviews basic pended claims to determine the appropriateness of the claim status and takes necessary action based on status.

·Researches customer information to gather documentation needed to process claims, adjustments and solve issues.

·Examines information including, but not limited to, authorizations, payments, denials, coordination of benefits, and eligibility.

·Acts independently and manages own activities with minimal supervision and direction using sound decision-making.

·May interface with customers via telephone to respond to routine inquiries and resolve concerns on an as-needed basis.
REQUIREMENTS
High school degree or equivalent. 1-3 years claims processing or equivalent experience. Able to effectively handle multiple tasks, navigate within a computer/systems environment. Effective organizational, time management, verbal and written communication skills.

To apply for this position, please visit our career center at http://careers.cvty.com, referencing job code # 10968.