Senior Claims Benefit Specialist
Company: VirtualVocations
Location: Vista
Posted on: May 24, 2025
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Job Description:
A company is looking for a Senior Claims Benefit Specialist -
Remote.
Key Responsibilities
Reviews and adjudicates complex claims according to processing
guidelines
Handles customer service inquiries related to pre-approval,
reconsiderations, or appeals
Trains and mentors junior claim benefit specialists while ensuring
compliance requirements are met
Required Qualifications
2+ years of medical claim processing experience
1-2 years of experience in a production/metrics-based
environment
High School Diploma required; preferred Associates degree or
equivalent work experience
Demonstrated ability to manage multiple assignments efficiently
Self-funding experience and DG system knowledge are preferred
Keywords: VirtualVocations, Pasadena , Senior Claims Benefit Specialist, Other , Vista, California
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