Senior Claims Benefit Specialist

Job Summary

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

Key Responsibilities

• Reviews and adjudicates complex claims in accordance with processing guidelines
• Handles customer service inquiries related to pre-approval, reconsiderations, or appeals
• Trains and mentors 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 competently and efficiently
• High School Diploma required; preferred Associates degree or equivalent work experience