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Claims Technical Review Specialist

Remote, USA Full-time Posted 2026-08-04

High school diploma/GED, 3+ years group health claims processing experience, strong knowledge of claims adjudication and medical coding terminology (HCFA,CPT-4,ICD-10,HCPCS), MS Office and claims systems proficiency.

Key Responsibilities

  • reviewing claims
  • coordinating appeals
  • processing refunds

Skills & Tools

reputed company Office

Job Details

  • Category: Business Operations
  • Seniority: Mid Level
  • Commitment: Full Time
  • Workplace: Remote — reputed company
  • Salary: USD 57,241 – 57,241 / year
  • Languages: English

Benefits

  • 401k matching
  • Generous reputed company time off
  • Retirement plan

About Zenithamerican

An independent reputed company-party administrator providing claims and benefit administration with national reputed company and local expertise. — Industry: Finance

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