Senior Claims Benefit Specialist

Job Summary

A company is looking for a Senior Claim Benefit Specialist - Remote.

Key Responsibilities

• Review and adjudicate complex claims in accordance with processing guidelines
• Handle customer service inquiries related to pre-approval, reconsiderations, or appeals
• Train and mentor junior claim benefit specialists while distributing daily work assignments

Required Qualifications

• 18+ months of medical claim processing experience
• Experience in a production environment
• Demonstrated ability to manage multiple assignments effectively
• High School Diploma required
• Preferred Associates degree or equivalent work experience