Claims Resolution Specialist

MagellanHealth

United States
Base: $41,505 - $62,255; bonus/equity: eligible fo...
Claim dispute research and resolution
Payment adjustment processing
Microsoft office excel proficiency
This position is responsible for accurate and timely research of all claim dispute types, timely processing of adjustments and acts as liaison between members, providers and internal claims departments

Job Summary

  • This position is responsible for accurate and timely research of all claim dispute types, timely processing of adjustments and acts as liaison between members, providers and internal claims departments.
  • Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.
  • Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace.

Matching Summary

This position is responsible for accurate and timely research of all claim dispute types, timely processing of adjustments and acts as liaison between members, providers and internal claims departments.

Salary

Base: $41,505 - $62,255; Bonus/Equity: Eligible for short-term incentives; Benefits: Comprehensive benefits package

Skills & Requirements

Must-have

  • claim dispute research and resolution
  • payment adjustment processing
  • Microsoft Office Excel proficiency
  • claims and eligibility platform navigation
  • professional call handling skills
  • customer service orientation

Nice-to-have

  • problem solving and initiative
  • team player
  • adaptability to change
  • reinforcement training for associates
  • data tracking and root cause analysis

Key Requirements

  • claims and customer service experience
  • proficient typing skills
  • understanding of customer service metrics
  • flexible scheduling and punctuality

Work Rights

Not specified

Tailored Resume

Cover Letter