Senior Claims Benefit Specialist - job 1 of 5

Job Summary

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

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 medical claim processing experience
• 1-2 years of experience in a production/metrics-based environment
• Demonstrated ability to manage multiple assignments efficiently
• High School Diploma required; Associate's degree preferred or equivalent work experience