Claims Specialist

Job Summary

Working on a contract basis for over six months, the Claims Specialist will manage the full range of claims and correspondence, ensuring client satisfaction and adherence to Service Level Agreements.

Key responsibilities

• Follow written procedures and scripts to process claims
• Utilize proprietary software tools to access and review claim documents and enter claim decisions
• Create escalations as needed to meet internal and external client expectations

Required qualifications

• Experience in claims processing or a related field
• Familiarity with proprietary software tools for claims management
• Ability to follow written procedures and scripts accurately
• Strong understanding of Service Level Agreements
• High school diploma or equivalent; additional education in a relevant field is a plus