Claims Specialist
VirtualVocationsDetroit, Michigan, United Statesjob_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a Claims Specialist to resolve complex claims and advocate for members navigating their healthcare benefits.
Key Responsibilities
Resolve complex claims issues by investigating billing discrepancies and coordinating resolutions
Coordinate benefits across various carriers, including Medicaid and Medicare
Educate and empower members on their benefit plans and claims processes
Required Qualifications
At least 2 years of experience in healthcare, customer service, or claims
Familiarity with plan documents, ACA guidelines, and various benefit programs
Proficiency in MS Word and Excel, with comfort in using internal databases
Ability to analyze claims and propose practical solutions
Strong listening skills to guide members through complex situations
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Claim Specialist • Detroit, Michigan, United States
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