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Claims Processing Specialist
Job Summary
A company is looking for a Claims Specialist to join their team.
Key Responsibilities
- Review claims to determine coverage and ensure documentation aligns with policy provisions
- Process paper claims and enter them into the system for evaluation
- Handle claims dispositions and rectify issues to prevent delays
Required Qualifications
- 2+ years of experience in claims processing, insurance, or a related field
- Prior experience with paper claims processing and understanding of regulatory requirements
- Familiarity with utilization management (UM) processes
- Experience handling sensitive data in compliance with privacy regulations
- Strong organizational skills to manage multiple claims while meeting deadlines
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COMPLETE JOB DESCRIPTION
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Company Overview
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