Claim Benefit Specialist
Job Description:
- Attendance during the 21 week training period is required.
- Determine and understand the coverage provided under a member's health plan
- Efficiently use multiple systems and screens to obtain and record claim information
- Review claims information to determine the nature of a member's illness or injury
- Identify claim cost management opportunities and refer claims for follow up
- Make claim payment decisions
- Process claims accurately to enhance customer satisfaction and retention
- Process claims within quality and production standards
- Assist team members in support of achieving team, office, regional, and national goals
Requirements:
- Experience in a quality and production environment.
- Attention to detail.
- Ability to use multiple computer applications at one time.
- Claim processing experience.
- Ability to multi-task
- Ability to work independently or as part of a group
- Associate’s Degree
Benefits:
- medical, dental, and vision coverage
- paid time off
- retirement savings options
- wellness programs
- other resources, based on eligibility
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