Claims Resolution Specialist - Military Veterans

ALL's WELL is proud to present:
This Claims Resolution Specialist Position Features:

****Temp positions-6 months or longer***

This is a phone-based position daily call handling.
This is not an Examiner/Adjuster role.

Position Overview:
Claims Resolution Specialist to provide exceptional customer service and support for providers. This is a temporary position dedicated to resolving claims payment inquiries, assisting with provider concerns, and ensuring efficient claims resolution.

Primary Responsibilities:

Claims Support:
Address and resolve provider inquiries related to claims payments, denials, and disputes.
Investigate claims issues involving contracts, payment guidelines, and policies.

Administrative Support:
Maintain accurate and timely documentation in Facets.
Route escalated calls to appropriate departments or management.

Minimum Qualifications:

High school diploma or equivalent.
At least 2 years of experience in claims resolution.
1 year of experience in a high-volume call center or customer service environment.
1 year of experience in HMO, Medi-Cal/Medicaid, or managed healthcare

Apply for this great position as a claims resolution specialist today!

EEO/AA Employer/Vet/Disabled.





The Know Your Rights poster is available here:


https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf





The pay transparency policy is available here:


https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf





For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.





We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.





ALL's WELL participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.


https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf





We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.


#8822

Entry Level