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Senior Claims Benefit Specialist

7/11/2025

No location specified

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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