Senior Claims Benefit Specialist

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