Job Summary
A company is looking for a Senior Claims Benefit Specialist - Remote.
Key Responsibilities
- Review and adjudicate complex claims in accordance with processing guidelines
- Handle customer service inquiries related to pre-approval, reconsiderations, or appeals
- Train and mentor junior claim benefit specialists while ensuring compliance with company practices
Required Qualifications
- 2+ years of medical claim processing experience
- 1-2 years of experience in a production/metrics-based environment
- Demonstrated ability to manage multiple assignments effectively
- High School Diploma required
- Preferred Associate's degree or equivalent work experience
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