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Claims Specialist

2 months ago


Bedford, United States Planet Professional Full time

***Local candidates only, this is on-site 5 days per week in Bedford, MA***



$19/hr

Job Title: Claims Specialist

Contract Duration : 3+ months


Must Haves:

MS Office Experience

1+ years of claims specialist experience




Job Description:

The Claims Specialist will work with internal teams to provide cutting-edge solutions that will directly improve the healthcare industry. You’ll contribute to our fast-paced, collaborative environment and will bring your expertise to review and carry out processes on all out of network claims. The ideal candidate will have strong technological skills, excellent interpersonal communication, and a well-rounded knowledge of insurance payers.



Key Responsibilities:

• Review, organize, and file IDR emails and complete responses

• Monitor and track fee requests from arbitrators, and compile and send supporting documentation to arbitrator

• Work automation reports

• Sort and file Good Faith negotiations and respond to carrier and/or arbitrator inquires

• Submit claims through state arbitration portals