Integrated Service Senior Specialist
Based in United States
Core
Primary point of contact for customers seeking assistance with claims-related inquiries, including submissions, status updates, denial reasons, and payment issues.
Role type
Senior Integrated Service Specialist (Claims Support)
Builds
Claims processing and adjustments for members
Domain
Health insurance / Claims administration
Deliverable
client delivery
Required skills
Claims processing, customer service, data analysis, workflow management, Microsoft Excel, Microsoft Word
Responsibilities
Execute routine and non-routine business support tasks, interface with clients and providers via telephone/fax/email to resolve member needs, research and update information using internal systems to process claims and adjustments, manage work distribution and monitor work queues for load balance.
Seniority
Senior, hands-on IC