Claims Benefit Specialist

Job Summary

A company is looking for a Claim Benefit Specialist.

Key Responsibilities

• Handles and processes benefits claims submitted by healthcare providers, ensuring accuracy and adherence to policies
• Determines eligibility and coverage of benefits for claims based on insurance plans and guidelines
• Documents claim information, assigns appropriate codes, and conducts reviews of claims requiring additional scrutiny

Required Qualifications

• Less than 1 year work experience
• Working knowledge of problem solving and decision-making skills
• Experience in a production environment
• High School diploma or equivalent G.E.D