Senior Claims Benefit Specialist

Job Summary

A company is looking for a Senior Claim Benefit Specialist - Remote.

Key Responsibilities

• Reviews and adjudicates complex claims according to processing guidelines
• Handles inquiries related to pre-approval, reconsiderations, and appeals
• Trains and mentors junior claim benefit specialists while distributing daily work assignments

Required Qualifications

• 18+ months of medical claim processing experience
• Experience in a production environment
• Demonstrated ability to manage multiple assignments effectively
• High School Diploma required
• Preferred Associates degree or equivalent work experience