Claims Processor – COB

Huron

. Manually review, evaluate, and process healthcare claims within the Facets platform .

Posted 10/20/2026contractRemote • Illinois • United StatesMid-LevelSenior💰 $30 - $35 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in manually processing healthcare claims using the Facets platform, with a strong focus on Coordination of Benefits (COB) and complex claim scenarios. Exhibits attention to detail and effective communication skills to ensure accurate claim resolution and adherence to established policies.

Highest-signal resume keywords

Facets Claims Examiner ExperienceHealthcare Claims ProcessingCoordination of Benefits (COB)Attention to DetailClear Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Facets Claims ProcessingHealthcare Claims EvaluationClaim Discrepancy ResolutionBenefit AnalysisDocumentation Accuracy

Soft Skills

Critical ThinkingCommitment to QualityProduction-Oriented Work EthicTeam Collaboration

Industry Keywords

Claims ProcessingPayment RulesPlan ProvisionsClient-Specific RequirementsU.S. Citizenship

About the role

Key responsibilities & impact

Manually review, evaluate, and process healthcare claims within the Facets platform
Research and resolve complex claim scenarios involving benefits, plan provisions, payment rules, and supporting documentation
Process Coordination of Benefits (COB) and/or ITS Home/Host claims
Validate primary and secondary payer responsibility
Identify claim discrepancies and determine appropriate resolutions
Document claim-processing decisions accurately
Apply established policies, procedures, and client-specific requirements
Meet quality and productivity expectations
Escalate claims issues, system concerns, or processing trends when additional review is required
Collaborate with team members and client stakeholders to support timely and accurate claim resolution

Requirements

What you’ll need

Current and hands-on experience as a Facets Claims Examiner
Advanced working knowledge of Facets claims processing (not Configuration)
Demonstrated experience manually processing healthcare claims, including complex and exception-based scenarios
Current experience manually processing Coordination of Benefits (COB) or ITS Home/Host claims
Ability to analyze claim details, benefit information, and supporting documentation
Strong attention to detail and critical-thinking skills
Commitment to quality
Ability to work effectively in a production-oriented, deadline-driven environment
Clear written and verbal communication skills
Must be a U.S. Citizen
Must be available for a W2 hourly contract; H-1B, C2C, and 1099 candidates are not considered

Benefits

Comp & perks

Medical coverage
Dental coverage
Vision coverage
401(k) plan with a generous employer match
Employee stock purchase plan
Paid Time Off
Paid parental leave
Adoption assistance
Wellness Program with free annual health screenings and coaching
Bank at work
On-site workshops
Ongoing programs recognizing major employee life events