Claims Processor

We are seeking a detail-oriented Claims Processor / Data Review Specialist to support high-volume claims and documentation processing. This role requires prior claims processing experience in a fast-paced environment involving data entry, document review, analysis, discrepancy identification, and database updates. The ideal candidate is highly organized, accurate, and comfortable working with large volumes of information while meeting deadlines.

Key Responsibilities:

• Review, process, and enter claims information into internal databases and systems with a high degree of accuracy
• Analyze supporting documentation to ensure completeness, accuracy, and compliance with company procedures
• Identify discrepancies, missing information, and inconsistencies in claims or related records
• Research and resolve data issues by comparing documentation against system records and established guidelines
• Verify claim details, codes, dates, and other critical information before final processing
• Maintain accurate electronic records and update files as new information is received
• Communicate with internal teams, clients, or other stakeholders to obtain clarification or missing documentation as needed
• Track and manage claims through various stages of the processing lifecycle
• Meet production, quality, and turnaround time expectations in a deadline-driven environment
• Support audit readiness by ensuring documentation is complete and properly filed
• Follow established policies, procedures, and confidentiality standards when handling sensitive information

Required Qualifications:

• Prior claims processing experience required
• Strong attention to detail and accuracy
• Ability to review documents carefully and recognize errors, inconsistencies, or missing information
• Proficiency with database systems, data entry platforms, and Microsoft Office applications
• Strong organizational and time management skills
• Ability to work independently and manage multiple tasks in a fast-paced environment
• Good written and verbal communication skills

Preferred Qualifications:

• Experience in insurance, healthcare, financial services, or another regulated/document-intensive environment
• Familiarity with claims management systems or related workflow tools
• Experience handling confidential or sensitive information