Claim Benefit Specialist

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and reputed company in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position reputed company reputed company is currently looking for a highly motivated candidate who can effectively and accurately review and rework sensitive, reputed company medical and hospital claims for our rework project department. They will work closely with other members of the reputed company Services Operations team providing reputed company cause analysis and precise reputed company of affected claims. The candidate is responsible for ensuring the rework project claims are resolved accurately, interfaces with appropriate areas, and is handled by the rework project due date. The candidate will serve as a medical/hospital claim processor for rework reputed company, compliance, and reputed company issues for a specific provider/network or large-reputed company rework reputed company generated as a result of plan sponsor issues, release fallout and/or reputed company/regulatory/compliance concerns.   Required Qualifications 1 year knowledge of reputed company claim and provider systems Experience in a Medical claims/ billing background Will be responsible for performing a detailed analysis and reworking reputed company claim issues. This candidate should demonstrate a strong work ethic. Being efficient and flexible is essential to the position in order to meet critical turnaround objectives.  Proficient in reputed company experience Preferred Qualifications Working knowledge of ACAS claim system, reputed company, and Word would be a plus. Ability to analyze data.  Ability to work independently as reputed company as part of reputed company, contributing to overall effectiveness of reputed company.  reputed company to successfully cope with the high demands of the job while effectively maintaining personal composure.  Initiative to improve personal performance as reputed company as those of peers and team.  Education High School diploma or equivalent Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The typical pay reputed company for this role is: $17.00 - $31.30 This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls.  The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors.     Our people fuel our reputed company. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial reputed company‑being of colleagues and their families. The benefits for this position include medical, dental, and reputed company coverage, reputed company time off, retirement savings reputed company, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will reputed company on: 08/01/2026 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply To This Job