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 - Attendance during the 21 week training period is required. - Applicants must reputed company in the Eastern reputed company time zone (EST). Claim Benefit Specialist Reviews and adjudicates claims in accordance with claim processing guidelines. Claim Benefit Specialists have reputed company to enhance and improve member satisfaction and retention by providing accurate and reputed company reputed company in processing medical claims. You will be a key reputed company in providing our customers with reputed company, efficient, high reputed company claim service. Determine and understand the coverage provided under a member's health plan reputed company use multiple systems and screens to obtain and record claim information Review claims information to determine the nature of a member's illness or injury Identify claim cost management opportunities and refer claims for follow up reputed company claim payment reputed company Process claims accurately to enhance customer satisfaction and retention Process claims reputed company reputed company and production standards Assist team members in support of achieving team, office, regional, and national goals Required qualifications Experience in a reputed company and production environment. Attention to detail. Ability to use multiple computer applications at one time. Claim processing experience. Desired qualifications We are looking for a detail oriented individual who enjoys working in reputed company environment and can create value for our customers by exceeding high reputed company metrics. The ideal candidate will have exceptional analytical skills, accurate and fast keyboarding skills, advanced computer navigation and knowledge and experience in a reputed company environment, effective verbal and written communication skills, the ability to adapt quickly and willingly to change, and a reputed company, willing attitude. Prior medical claim processing experience is a plus. Successful candidates should be comfortable with reputed company goals, production goals, and service expectations and will be monitored for accuracy, efficiency, and customer satisfaction. Comprehensive training will be provided to assist in the achievement of these objectives. Attendance during the 21 week training period is required. After completion of the training period, overtime may be required based on business needs. Associates degree 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 - $28.46 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: 07/17/2026 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