Claims Processor (NASCO)

Project Overview
The business is seeking to engage temporary Claims Processors to support a significant increase in claims processing volume and address an existing backlog of work. To ensure timely resolution of the backlog while maintaining quality and service standards, the organization anticipates hiring approximately 30 temporary Claims Processors.
The assignment is expected to last approximately 4 to 6 months and will be fully remote. Resources will be responsible for processing healthcare claims, researching claim-related issues, and supporting operational objectives while adhering to established productivity, quality, and compliance requirements.
The preferred candidate profile includes individuals with NASCO experience, although NASCO experience is not mandatory. Candidates must possess a minimum of 1-2 years of healthcare claims processing experience and demonstrate the ability to successfully perform in a high-volume production environment. Full job description is listed below.

Staffing Requirement Summary
Requirement Details
Position Claims Processor (NASCO)
Number of Resources 30
Employment Type Temporary
Duration Approximately 4-6 Months
Work Arrangement Fully Remote
Required Experience 1-2 Years Claims Processing Experience
Preferred Experience NASCO Experience
Industry Experience Healthcare / Health Insurance Claims
Training One week

Position Summary
Responsible for reviewing, organizing, and processing claim-related documentation to ensure accurate and timely workflow completion. Obtains missing information required for claim processing and maintains quality and productivity standards in a fast-paced environment.

Essential Duties and Responsibilities

• Review incoming claim submissions and identify missing or incomplete information required for processing.
• Obtain and update necessary documentation and information to support workflow requirements and timely claim handling.
• Accurately enter, verify, and maintain claim information within multiple claims processing systems and applications.
• Route documents and transactions to the appropriate department or processing queue based on established procedures.
• Monitor and manage workloads to ensure service level and productivity expectations are met.
• Perform quality reviews to ensure accuracy, completeness, and compliance with company standards.
• Support document imaging, indexing, scanning, and electronic file maintenance activities.
• Research and resolve routine processing issues and discrepancies.
• Maintain confidentiality of sensitive information and adhere to all company policies and procedures.
• Perform other related duties as assigned by management.

Education

• High School Diploma or GED equivalent required.

Work Experience

• One (1) year of administrative, clerical, data entry, or business experience required.
• One (1) claims processing, document management, healthcare, insurance, or production environment experience preferred.
  NASCO experience strongly preferred.
• Experience working in a quality-driven and high-volume processing environment preferred.

Knowledge, Skills, and Abilities

• Strong computer proficiency, including Microsoft Office applications.
• Excellent data entry and attention-to-detail skills.
• Ability to manage multiple priorities and meet established deadlines.
• Strong organizational and time management skills.
• Effective verbal and written communication skills.
• Ability to work independently and as part of a team.
• Commitment to accuracy, quality, and customer service.