Senior Claim Benefit Specialist
Job Description: • Reviews and adjudicates complex, sensitive, and/or specialized claims • Handles customer service inquiries and problems • Executes business support tasks under limited supervision • Follows area protocols and standards to provide effective support • Reviews claims that exceed specialist adjudication authority • Handles inquiries related to pre-approvals, reconsiderations, or appeals • Identifies and reports claim overpayments and irregularities • Takes direction to execute techniques and processes Requirements: • 3+ years medical claim processing experience • Working knowledge of problem solving and decision making skills • Self-Funding experience (preferred) • High school diploma or equivalent required 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 Apply tot his job