Claims Processor I

. Research and verify complex claims information for accurate and timely claims processing .

Posted 9/25/2026full-timeRemote • Louisiana • United StatesJuniorWebsite

Key responsibilities & impact

Research and verify complex claims information for accurate and timely claims processing
Enter coded and other required information into claims systems
Review and correct scanned claims documents
Check claims for completeness and accuracy before final entry
Identify and resolve inconsistencies and request missing information
Ensure contract benefits are applied correctly
Research procedural questions using supporting documentation and training manuals
Identify incomplete adjudication instructions and suggest procedure updates
Identify training issues and consult management when necessary
Record daily production information including edits processed, hours worked, downtime, and special projects
Reject, redirect, or return incomplete or inaccurate claims
Maintain contact with internal departments, staff, providers, members, lawyers, insurers, and other external entities
Perform other job-related duties within the scope of responsibilities

What you’ll need

High School Diploma or equivalent required
Associate's degree preferred
1 year of related clerical or data entry experience required
A medical office or medical coding diploma can be used in lieu of one year of experience
Completion of the Medical Assistant, Coding & Insurance Pathway from BRCC can be used in lieu of one year of experience
Claims processing or claims coding experience preferred
Must be able to enter data at 4000 keystrokes per hour
Medical coding training preferred
Must demonstrate critical thinking and problem-solving skills
Familiarity with medical and health insurance terminology preferred
Demonstrated verbal and written communication skills
Must demonstrate PC skills including Microsoft Office (Word, Excel, Outlook, etc.)
No licenses or certifications required
Residency in or relocation to Louisiana is preferred for all positions
Must pass background and pre-employment drug screening; employment restrictions apply to certain felony convictions involving dishonesty or breach of trust

Comp & perks

Employee resources to live well, be healthy, continue learning, develop skills, grow professionally and serve local communities
Smoke- and tobacco-free company properties
Reasonable accommodations for individuals with disabilities
Pre-employment drug screening and background screening after an offer