Claims Processor

Location: Tualatin, Oregon, United States; onsite, full-time, 40 hours per week

Company

hirify.global is an independent third-party administrator serving health and welfare benefit plans through more than 44 offices across the United States.

What you will do

• Maintain current knowledge of assigned benefit plans and apply plan rules when processing claims.
• Process routine medical, dental, vision, prescription, death, life and AD&D, workers’ compensation, and disability claims.
• Provide customer service by responding to telephone, written, electronic, and in-person inquiries.
• Document customer interactions and perform additional duties as assigned.
• Handle protected health information and personally identifiable information with appropriate discretion.

Requirements

• High school diploma or GED.
• At least six months of experience processing health and welfare claims.
• Basic knowledge of benefits claims adjudication principles, medical or dental terminology, ICD-10, and CPT-4 codes.
• Clear and professional verbal and written communication skills, analytical ability, and basic calculation skills.
• Ability to work with shifting priorities, manage varied activities, and handle confidential matters discreetly.
• Computer proficiency, including Microsoft Office tools and applications.

Nice to have

• Experience working for a third-party administrator.

Culture & Benefits

• Health, vision, and dental coverage.
• 401(k) retirement savings plan with company match.
• Paid time off.
• Opportunities for professional growth.
• Work environment focused on high-quality service, integrity, and mutual respect.