Medical Claims Specialist

Seeking a fully remote Financial Claims Specialist, the position requires managing claim documents, utilizing proprietary software for data entry, and communicating with claimants, ideally suited for candidates with over a year of experience in claims or banking. Key responsibilities: Utilize proprietary software tools to access, review, and enter claim decisions while ensuring compliance with departmental standards Communicate directly with claimants via phone or email and draft claimant-facing communications based on provided guidance Collaborate with team leadership to identify obstacles in case work and contribute expertise to processing guidelines Required qualifications: Professional degree or equivalent experience in claims or banking Prior experience in claims processing or data analysis Strong critical thinking skills and sound judgment Ability to work at a computer workstation for extended periods Basic math knowledge for data verification and processing requirements