CLAIMS REVIEW SPECIALIST jobs in United States
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State of Arkansas ยท 1 day ago

CLAIMS REVIEW SPECIALIST

The State of Arkansas is dedicated to serving the community through its Department of Human Services. The Claims Review Specialist plays a critical role in supporting the insurance claims process by reviewing and evaluating claims for accuracy, completeness, and compliance with agency policies and regulatory standards.

EducationEmploymentGovernmentPublic RelationsRecreation
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H1B Sponsor Likelynote

Responsibilities

Assess insurance claims to ensure all required information is accurate and complete
Verify claim documentation against policy terms and conditions
Identify missing or inconsistent information and coordinate with the appropriate personnel to resolve issues
Document findings and actions taken for each claim in an organized manner
Communicate claim outcomes and provide necessary explanations to policyholders or internal personnel
Support fraud detection and prevention efforts by reporting unusual patterns or inconsistencies
Stay informed on agency policies, industry practices, and relevant regulations
Collaborate with senior team members and managers to improve claims processing workflows

Qualification

Analytical skillsProblem-solving skillsMicrosoft ExcelMicrosoft WordAttention to detailWritten communicationVerbal communicationWillingness to learnProgramsTeam-oriented approach

Required

High school diploma or GED
Two Years Of Experience In Clerical Or Administrative Functions
Strong analytical and problem-solving skills
Attention to detail
Good written and verbal communication
Willingness to learn and adapt to new tools, technologies, and processes
Experience with using standard office software (e.g., Microsoft Excel, Word)
A proactive and team-oriented approach to work
Familiarity with department related programs

Benefits

Pension
Maternity leave
Paid state holidays
And much more

Company

State of Arkansas

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State of Arkansas is a government organization that offers child support, business, employment, education, and recreational services.

H1B Sponsorship

State of Arkansas has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (1)
2020 (1)

Funding

Current Stage
Late Stage

Leadership Team

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Frank Andrews
State Chief Security Officer
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Larry Walther
Director of the Department of Finance and Administration and Chief Fiscal Officer
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Company data provided by crunchbase