Claims Resolution Specialist
AppleOne Employment Services · Bakersfield, CA · 1 wk ago
Accounting$20–$23/hrFull-time
Bakersfield, CA | $20-23 per hour
About the role
The Claims Resolution Specialist is responsible for reviewing, processing, adjudicating, and resolving healthcare insurance claims in accordance with plan benefits, contractual agreements, regulatory requirements, and company policies. This role ensures accurate and timely claim payments, investigates claim discrepancies, and collaborates with providers, members, and internal departments to resolve claim-related issues.
Benefits
- Major medical insurance
- Dental insurance
- Vision insurance
- 401k retirement plan
- Statutory sick pay (where required)
Benefits apply for temporary assignments lasting 13 weeks or longer.