Claims Processing Specialist

3 days ago


Columbia, South Carolina, United States Kelly Full time
Job Summary

We are seeking a skilled Claims Processing Professional to join our team at a premier client in Columbia, SC. As a Claims Processing Professional, you will be responsible for reviewing and adjudicating complex or specialty claims according to organizational policies and procedures.

Key Responsibilities
  • Review and adjudicate complex or specialty claims to ensure accuracy and compliance with organizational policies and procedures.
  • Examine and process complex or specialty claims, ensuring correct coding and verification.
  • Ensure claims are processed according to quality and production standards.
  • Research and resolve claims edits and deferrals.
  • Respond to routine correspondence and complete spreadsheets.
Requirements
  • Strong organizational, analytical, and judgment skills.
  • High school diploma or equivalent.
  • At least 2 years of experience processing, researching, and adjudicating claims.
  • Ability to work onsite at the client location in Columbia, SC.
  • Proficiency in Microsoft Office.
About Kelly

Kelly is a leading staffing and workforce solutions provider dedicated to connecting people with great opportunities. We are committed to providing our employees with limitless opportunities to enrich their lives and careers.

We are an equal employment opportunity and affirmative action employer. We welcome, value, and embrace diversity at all levels and are committed to building a team that is inclusive of a variety of backgrounds, communities, perspectives, and abilities.



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