Top 137 Processor Jobs in Novi, Mi

Claims Processor
MITEC Solutions Inc. —Allen Park, MI
- From $17 an hour
- Full-time
- Computer literacy
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
9d
Loan Officer Assistant
Amax Lending —West Bloomfield Township, MI
- $60,000 - $130,000 a year
- Full-time
- Basic math
- Mid-level
- Office
Quick Apply
Specimen Processor
University of Michigan —Ann Arbor, MI
- $42,848 - $62,192 a year
- 8 hour shift
- Background check
- Hospital
- Ability to walk for extended periods
- Health insurance
- Dental insurance
Escrow Processor - Livonia
America Safe Title —Livonia, MI
- $27 - $30 an hour
- Full-time
- Mid-level
- Office
- Organizational skills
- Health insurance
- Dental insurance
Quick Apply
OR INSTRUMENT PROCESSOR I
University of Michigan —Ann Arbor, MI
- $53,726.40 - $57,824.00 a year
- Weekends as needed
- Background check
- Hospital
- In-person
- Health insurance
- Dental insurance
5d
Post Sale Processor
Trott Law, P.C. —Farmington Hills, MI
- Full-time
- Hybrid work
- Writing skills
- Office
- High school diploma or GED
- Health savings account
- Health insurance
Quick Apply
OR INSTRUMENT PROCESSOR I/II (Underfill)
University of Michigan —Ann Arbor, MI
- $53,726.40 - $57,824.00 a year
- Weekends as needed
- Background check
- Mid-level
- In-person
- Health insurance
- Dental insurance
Instrument/Sterilizer Processor l - ll
University of Michigan —Brighton, MI
- $54,400 - $57,824 a year
- Overtime
- Background check
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
12d
Customs Processor
Omnitrans inc. —Detroit, MI
- $22 - $35 an hour
- Full-time
- Hybrid work
- Mid-level
- Office
- 3 years
- 401(k)
Quick Apply
7d
Mortgage Loan Processor
Innovation Mortgage —Farmington Hills, MI
- $25 an hour
- Full-time
- Mid-level
- Office
- Bachelor's degree
- Opportunities for advancement
Quick Apply
1d
Escrow Processor
Best Homes Title Agency —Farmington Hills, MI
- Overtime
- Customer service
- Mid-level
- Office
- Paid parental leave
- Health savings account
Quick Apply
Legal Processor
ORLANS LAW GROUP PLLC —Troy, MI
- Full-time
- Hybrid work
- Computer literacy
- Research
- High school diploma or GED
- Disability insurance
- Health insurance
Quick Apply
Processor, Senior
THE MORTGAGE LINK, INC. —Northville, MI
- Full-time
- Remote
- 5 years
- Senior level
- Health savings account
- AD&D insurance
Quick Apply
PROCESSING SPECIALIST I
Palco —Ann Arbor, MI
- Full-time
- Remote
- HIPAA
- Research
- High school diploma or GED
- Paid training
- AD&D insurance
10d
Mortgage Loan Processor
Extreme Loans —Southfield, MI
- 8 hour shift
- Office
- High school diploma or GED
- Organizational skills
- Dental insurance
- 401(k)
Quick Apply
Cylinder Processor
Linde —Canton, MI
- Forklift
- High school diploma or GED
- Typing
- Paid holidays
- Disability insurance
Processor - Title Insurance Industry
Madison Settlement Services —Troy, MI
- Full-time
- Computer literacy
- Mid-level
- Office
- Health savings account
- Health insurance
Quick Apply
4d
Loan Processor - No Experience
United Wholesale Mortgage —Pontiac, MI
- 8 hour shift
- No experience needed
- Office
- High school diploma or GED
- Health insurance
- Dental insurance
Loan Processor
GreenStone Farm Credit Services —Ann Arbor, MI
- Monday to Friday
- Mid-level
- Office
- High school diploma or GED
- AD&D insurance
- Paid holidays
Instrument/Sterilizer Processor-Brighton Center for Specialty Care
University of Michigan —Brighton, MI
- $46,467.20 - $49,025.60 a year
- Overtime
- Background check
- Hospital
- Mid-level
- Health insurance
- Dental insurance

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Claims Processor

MITEC Solutions Inc.
Allen Park, MI

Quick Apply

Job Details

Full-time
From $17 an hour
9 days ago

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
401(k) matching

Qualifications

Computer operation
Microsoft Office
High school diploma or GED
Analysis skills
Attention to detail
Critical thinking

Full Job Description

CLAIMS PROCESSOR – FSA, HRA & Lifestyle Claims

Position Summary:

The Claims Processor is responsible for accurately and efficiently adjudicating Flexible Spending Account (FSA), Health Reimbursement Arrangement (HRA), and Lifestyle Benefit claims in accordance with applicable plan provisions, client requirements, eligibility guidelines, work instructions, and Company procedures.

The Claims Processor reviews submitted claims and supporting documentation, determines claim eligibility, processes approved or denied claims, identifies claims requiring additional information or review, and ensures claims are completed within established turnaround and service level requirements.

The position requires strong attention to detail, the ability to interpret plan requirements, and the ability to consistently meet established quality and productivity standards.

Essential Duties and Responsibilities:

Claims Adjudication

Review and adjudicate FSA, HRA, and Lifestyle Benefit claims accurately and efficiently using established processing work instructions.
Review claims for completeness, eligibility, required documentation, and compliance with applicable plan requirements, including but not limited to pharmacy, over-the-counter items, dental, orthodontia, vision, medical, parking, mileage, premiums, and childcare.
Verify that supporting documentation contains required information, including, as applicable: Provider, Date of service, Applicable fund or coverage dates, Patient responsibility, Service category, and Description of service
Review documentation and applicable eligibility guidelines to determine whether expenses qualify for reimbursement.
Determine whether claims are duplicates of previously submitted or processed claims.
Approve, deny, partially approve, pend, or request additional documentation in accordance with established procedures, processing reason codes, and client-specific guidelines.
Calculate patient responsibility, when applicable, by accurately accounting for insurance payments, adjustments, rebates, discounts, and other applicable amounts.
Enter accurate and appropriate permanent notes in the applicable claims processing system to document claim adjudication and decisions.
Apply client-specific plan provisions, eligibility requirements, and processing procedures consistently.
Escalate claims requiring additional clarification, research, or review to the appropriate review queue or Team Leader.
Process claims within established client turnaround requirements and service level agreements.
Maintain an average processing rate of 75–80 claims per hour, based on the applicable workflow and claim complexity.
Maintain a minimum claims adjudication accuracy rate of 98%.
Participate in coaching, retraining, and quality improvement activities when processing or audit concerns are identified.
Demonstrate continuous improvement based on audit results, coaching, and feedback.
Promptly communicate questions, concerns, recurring claim issues, or unclear processing requirements to the Team Leader.
Follow all current Company and client-specific work instructions and procedures.
Maintain and follow the Company's Clean Desk Policy and Dress Code Policy.
Follow all Company security, privacy, confidentiality, and information protection policies, standards, and guidelines when handling participant, client, employee, and Company information.

Quality and Audit Responsibilities

Participate in routine claim audits and quality reviews.
Review audit feedback and correct identified processing errors.
Apply audit findings to future claims processing.
Maintain the required 98% or greater accuracy standard.
Notify the Team Leader of recurring errors, unclear guidelines, or potential issues with client requirements.
Participate in additional training when audit results indicate a need for improvement.

Training and Process Updates

Complete required initial and ongoing training related to FSA, HRA, and Lifestyle Benefit claims.
Maintain knowledge of current eligibility requirements, benefit categories, client-specific requirements, and processing procedures.
Review and incorporate updates to work instructions and eligibility guidelines into daily processing.
Complete training claims accurately and in accordance with established training requirements.
Ask questions and seek clarification when processing requirements are unclear rather than making assumptions.

Productivity and Attendance

Meet established daily productivity, quality, and turnaround expectations.
Maintain an average processing rate of 75–80 claims per hour, when applicable to the assigned workflow.
Maintain a minimum 98% claims adjudication accuracy rate.
Maintain regular and reliable attendance in accordance with Company policy.
Be ready and available to perform assigned duties at the beginning of the scheduled work period.
Follow Company procedures for requesting time off, reporting absences, and recording time worked.
Obtain appropriate management approval before working overtime.

KEY ACCOUNTABILITIES:

Accuracy
Timeliness
Productivity
Communication Skills
Problem Solving
Attention to Detail
Accountability
Reliability and Attendance
Policy and Procedure Compliance

MINIMUM REQUIREMENTS:

Computer literate
High school diploma or GED required.
Excellent analytical and critical thinking skills
Detail-oriented
Reliable
Ability to work independently and collaboratively within a team.

Job Type: Full-time

Pay: From $17.00 per hour

Benefits:

401(k)
401(k) matching
Dental insurance
Health insurance
Paid time off
Vision insurance

Physical Setting:

Office

Experience:

Microsoft Office: 1 year (Preferred)
Clerical: 1 year (Preferred)

Work Location: In person

Quick Apply

Refine Your Search

processor jobs in novi, mi

Claims Processor

Loan Officer Assistant

Specimen Processor

Escrow Processor - Livonia

OR INSTRUMENT PROCESSOR I

Post Sale Processor

OR INSTRUMENT PROCESSOR I/II (Underfill)

Instrument/Sterilizer Processor l - ll

Customs Processor

Mortgage Loan Processor

Escrow Processor

Legal Processor

Processor, Senior

PROCESSING SPECIALIST I

Mortgage Loan Processor

Cylinder Processor

Processor - Title Insurance Industry

Loan Processor - No Experience

Loan Processor

Instrument/Sterilizer Processor-Brighton Center for Specialty Care

I want to receive the latest job alert for processor in novi, mi

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