Claims Specialist

Job Summary

A company is looking for a Claims Specialist I to resolve medical claims that are not automatically adjudicated.

Key Responsibilities

• Process claims by entering data, reviewing contract benefits, and determining eligibility
• Engage in continuous learning to stay updated on processing procedures and system modifications
• Perform additional duties as assigned

Required Qualifications

• High School diploma or equivalent
• Minimum two years of college coursework in a related field or one year of relevant office experience
• Must pass company proficiency test: Claims Assessment
• Knowledge of anatomy, medical terminology, and related subjects is preferred
• Ability to maintain security and confidentiality of records and information