Claim Benefit Specialist

Job Description: • Review and adjudicate claims in accordance with claim processing guidelines. • Enhance and improve member satisfaction and retention by providing accurate resolution in processing medical claims. • Be a key link in providing customers with prompt, efficient, high quality claim service. • Attend the 21 week training period. • Make claim payment decisions. • Process claims accurately to enhance customer satisfaction and retention. • Process claims within quality and production standards. • Assist team members in support of achieving goals. Requirements: • Experience in a quality and production environment. • Attention to detail. • Ability to use multiple computer applications at one time. • Prior medical claim processing experience is a plus. • Exceptional analytical skills • Accurate and fast keyboarding skills • Advanced computer navigation • Knowledge and experience in a Windows environment • Effective verbal and written communication skills • Ability to adapt quickly and willingly to change • Positive, willing attitude • Successful candidates should be comfortable with quality goals, production goals, and service expectations Benefits: • Affordable medical plan options • 401(k) plan (including matching company contributions) • Employee stock purchase plan • No-cost programs for all colleagues including wellness screenings • Tobacco cessation and weight management programs • Confidential counseling and financial coaching • Paid time off • Flexible work schedules • Family leave • Dependent care resources • Colleague assistance programs • Tuition assistance • Retiree medical access and many other benefits depending on eligibility Apply tot his job Apply To this Job