Senior Claims Benefit Specialist

Job Summary

A company is looking for a Senior Claim Benefit Specialist.

Key Responsibilities

• Reviews and adjudicates complex claims in accordance with processing guidelines
• Handles customer service inquiries related to claims, pre-approvals, and appeals
• Trains and mentors junior claim benefit specialists while ensuring compliance with company practices

Required Qualifications

• 2+ years of claim processing experience
• Experience in a production environment
• Demonstrated ability to manage multiple assignments efficiently
• High School Diploma required
• Preferred: Associate's Degree or equivalent work experience