Claim Benefit Specialist

Role Overview

• review and rework sensitive, complex medical and hospital claims
• provide root cause analysis and precise resolution of affected claims
• ensure rework project claims are resolved accurately
• serve as a medical/hospital claim processor for rework projects

Requirements

• 1 year knowledge of Aetna claim and provider systems
• Experience in a Medical claims/ billing background
• Will be responsible for performing a detailed analysis and reworking complex claim issues
• Proficient in Excel

Benefits

• medical, dental, and vision coverage
• paid time off
• retirement savings options
• wellness programs