- Resolve complex claims disputes through timely intervention
- Analyze system discrepancies and implement corrective measures as necessary
- Bachelor’s degree or relevant work experience equivalent is required.
- A minimum of two years’ experience working in healthcare-related positions preferably within insurance companies is highly preferred but not mandatory;
claimresolutionspecialist - Albany - beBeeClaimResolution
Job title: Claims Adjudicator
Description
Claims Resolution Specialist
The Claims Resolution Specialist plays a vital role in ensuring seamless claims adjudication processes.
In this position, you will be responsible for resolving provider claims issues through effective communication and problem-solving.
You will analyze systems, collaborate with operational areas and provider billing teams to address claim issues. Your strong research skills, attention to detail, excellent time-management skills and experience in customer service or clerical roles related to claims are essential assets.