Review and adjudicate claims in accordance with ACAS claim processing guidelines
Work closely with other members of the Commercial Services Operations team providing root cause analysis and precise resolution of affected claims
Ensure the rework project claims are resolved accurately and on time
Serve as a medical/hospital claim processor for rework projects, compliance, and complex issues

Experience in a production environment
Proven ability to provide excellent service by meeting key performance metrics including production, quality, and turnaround time
Possess strong teamwork and organizational skills
Demonstrated ability to handle multiple assignments competently, accurately and efficiently
ACAS claim system experience preferred
Detail oriented, root cause problem solving, organized and able to manage multiple priorities
High School Diploma

Claim Benefit Specialist

Key skills