Claim Benefit Specialist

Job Description:

  • Performs claim documentation review
  • Verifies policy coverage
  • Assesses claim validity
  • Communicates with healthcare providers and policyholders
  • Ensures accurate and timely claims processing
  • Contributes to the efficient handling of medical claims
  • Handles and processes Benefits claims
  • Determines eligibility and coverage of benefits
  • Assesses claims for accuracy and compliance
  • Documents claim information in the company system
  • Conducts reviews and investigations of claims
  • Develops and implements performance review process
  • Analyzes claims data and generates reports

Requirements:

  • Less than 1 year work experience
  • Working knowledge of problem solving and decision making skills
  • High school diploma or equivalent required
  • Must live in and work the Eastern or Central Time Zone

Benefits:

  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • Employee stock purchase plan
  • No-cost wellness screenings
  • Tobacco cessation programs
  • Weight management programs
  • Confidential counseling
  • Financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access
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