Claim Benefit Specialist

Role Overview

• Reviews and adjudicates claims in accordance with claim processing guidelines.
• Provides accurate and timely resolution in processing medical claims.
• Determines and understands the coverage provided under a member's health plan.
• Processes claims accurately to enhance customer satisfaction and retention.

Requirements

• Experience in a quality and production environment.
• Attention to detail.
• Ability to use multiple computer applications at one time.
• Claim processing experience.

Benefits

• medical, dental, and vision coverage
• paid time off
• retirement savings options
• wellness programs