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Claims Specialist

Job in High Point, Guilford County, North Carolina, 27264, USA
Listing for: Jobtailor
Full Time position
Listed on 2026-07-14
Job specializations:
  • Administrative/Clerical
    Clerical, Office Administrator/ Coordinator
  • Customer Service/HelpDesk
    Clerical, Office Administrator/ Coordinator
Salary/Wage Range or Industry Benchmark: 32000 - 52000 USD Yearly USD 32000.00 52000.00 YEAR
Job Description & How to Apply Below
  • Review and process Wellness, Accident, and Vision insurance claims
  • Determine the nature and validity of claims by reviewing policy status and supporting documents
  • Provide prompt customer service to policy holders and providers regarding claims
  • Document phone calls and follow-up on claim issues
  • Maintain databases and prepare information using software systems
Requirements
  • High School Diploma or Equivalent
  • 1 year of work experience
  • Experience and proficiency using Microsoft Office Suite software
  • Knowledge of principles and processes for providing customer and personal services
  • Knowledge of administrative and clerical procedures and systems
  • Fluency in Spanish with the ability to translate documents (if applicable)
Hard Skills
  • insurance claims processing
  • document review
  • database maintenance
  • customer service
  • administrative procedures
  • clerical procedures
Soft Skills
  • communication
  • customer service orientation
  • problem-solving
Certifications & Qualifications
  • High School Diploma or Equivalent
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