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Claims Processing Specialist
A company is looking for a Claims Specialist to join their team. Key Responsibilities Review claims to determine coverage and ensure documentation aligns with policy provisions Process paper claims and enter them into the system for evaluation Handle claims dispositions and rectify issues to prevent delays Required Qualifications 2+ years of experience in claims processing, insurance, or a related field Prior experience with paper claims processing and understanding of regulatory requirements Familiarity with utilization management (UM) processes Experience handling sensitive data in compliance with privacy regulations Strong organizational skills to manage multiple claims while meeting deadlines
A company is looking for a Claims Specialist to join their team.
Key Responsibilities
Review claims to determine coverage and ensure documentation aligns with policy provisions
Process paper claims and enter them into the system for evaluation
Handle claims dispositions and rectify issues to prevent delays
Required Qualifications
2+ years of experience in claims processing, insurance, or a related field
Prior experience with paper claims processing and understanding of regulatory requirements
Familiarity with utilization management (UM) processes
Experience handling sensitive data in compliance with privacy regulations
Strong organizational skills to manage multiple claims while meeting deadlines
