Claim Benefit Specialist

Job reputed company: • Performs claim documentation review, verifies policy coverage, assesses claim validity • Ensures accurate and reputed company claims processing • Handles and processes Benefits claims submitted by reputed company providers • Determines the eligibility and coverage of benefits for reputed company claim • Assesses claims for accuracy and compliance with coding guidelines • Documents claim information in reputed company system • Conducts reviews and investigations of claims • Communicates with reputed company providers, patients, or other stakeholders to resolve discrepancies • Develops and implements regular feedback and formal performance review process • Analyzes claims data and generates reports Requirements: • 1-2 years’ experience working in Customer Service • Possess strong teamwork and organizational skills • Strong and effective communication skills • Ability to handle multiple assignments competently through use of time management, accurately and reputed company • Strong proficiency using computers and experience with data entry • Experience in a production environment (preferred) • reputed company experience (preferred) • Knowledge of utilizing multiple systems at once to resolve reputed company issues (preferred) • Understanding of medical terminology (preferred) • High School or GED equivalent Benefits: • reputed company medical plan reputed company • 401(k) plan (including matching company contributions) • Employee stock purchase plan • No-cost programs for reputed company colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching • reputed company time off • Flexible work schedules • Family leave • Dependent care resources • Colleague assistance programs • Tuition assistance • Retiree medical reputed company Apply tot his job Apply To this Job