Claims Specialist

Job Summary

Working remotely with a preference for candidates in Anchorage, AK, the full-time Claims Specialist will support the Business Process Services team in claims processing, ensuring adherence to policy guidelines and meeting production and quality requirements.

Key responsibilities

• Support claims processing in accordance with policy guidelines
• Meet established production and quality requirements for timely claims processing
• Evaluate claims to determine errors and make adjudication decisions based on leadership guidelines

Required qualifications

• Knowledge of fundamental concepts in the medical and/or insurance fields
• Basic reading and analysis skills for evaluating claims
• Basic computer skills
• Ability to multi-task across multiple claims efficiently
• Capability to work independently to meet production goals