Aetna Jobs in High Point – Claim Specialist

Job Description:

This is a work at home opportunity for candidates in the EST time zone. Reviews and adjudicates claims in accordance with claim processing guidelines. Claim Benefit Specialists have the opportunity to enhance and improve member satisfaction and retention by providing accurate and timely resolution in processing medical claims. You will be a key link in providing our customers with prompt, efficient, high quality claim service.

Job Requirements:

• Process claims accurately to enhance customer satisfaction and retention
• Process claims within quality and production standards
• Review claims information to determine the nature of a member’s illness or injury
• Identify claim cost management opportunities and refer claims for follow up
• Determine and understand the coverage provided under a member’s health plan
• Efficiently use multiple systems and screens to obtain and record claim information
• Assist team members in support of achieving team, office, regional, and national goals
• Bachelor’s degree or equivalent experience

Job Details:

Company: Aetna

Vacancy Type: Full Time

Job Location: High Point, NC, US

Application Deadline: N/A

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