Insurance Claims Specialist

Review and process incoming claims in accordance with company policies and regulatory requirements. Analyze claim information and medical records to determine accuracy and eligibility. Collaborate with internal teams to resolve complex cases and document all claim actions clearly in the system.

Minimum of 4 CXC Subjects including English A. Minimum of 1+ years of claims processing experience in medical claims entry or a related health care administrative role. Familiarity with medical terminology and the U.S. healthcare system.