Icon hamburger
What job do you want?
Apply to this job.
Think you're the perfect candidate?
Apply Now

You’re being taken to an external site to apply.

Enter your email below to receive job recommendations for similar positions.

Claims Specialist

Pyramid Consulting, Inc Fort Washington Contractor
$20.00 - $25.00 / hour
Apply Now
Immediate need for a talented Claims Specialist with experience in the Insurance Industry.
This is a 06+ Months contract opportunity with long-term potential and is located in Fort Washington, PA. Please review the job description below.
Job ID: 19-34914
Key Responsibilities and Technology Experience:
  • The Claims Specialist sets adequate reserves to ensure proper reporting.
  • Compares data on claim form with insurance plan to ascertain completeness and validity of the claim.
  • Examines claim form and other records to determine insurance coverage.
  • Proactively works to resolve claim as expeditiously as possible.
  • Reviews and analyze detailed medical records.
  • Calculates reimbursement of benefits according to the schedule of coverage. Runs various claim reports as directed by the account.
  • Liaison with Marketing/Customer Service departments.
  • Incrementally increase productivity without jeopardizing quality.
  • Approves claims at the appropriately demonstrated assigned authority level.
  • Functions as a resource for examiners and assist with training new examiners and customer service representative.
  • Handles difficult phone calls and composes special correspondence.
  • You Bring Knowledge and Expertise.
  • 1 – 3 years CLAIMS ADJUDICATION experience.
  • Writes clearly, concisely and effectively.
  • Communicates verbally effectively and with impact.
  • Ability to multi-task and mange time effectively.
  • High School or GED required. College preferred, or equivalent work experience.
Our client is a leading Insurance Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration. 


Recommended skills

Customer Service
Apply to this job.
Think you're the perfect candidate?
Apply Now

Help us improve CareerBuilder by providing feedback about this job: Report this job

Report this Job

Once a job has been reported, we will investigate it further. If you require a response, submit your question or concern to our Trust and Site Security Team

Job ID: 19-34911


For your privacy and protection, when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Learn more.

By applying to a job using CareerBuilder you are agreeing to comply with and be subject to the CareerBuilder Terms and Conditions for use of our website. To use our website, you must agree with the Terms and Conditions and both meet and comply with their provisions.

We're here to help you cut costs, focus on your core business, and nimbly respond to growth opportunities. You can rely on our knowledge and insights about the industry-specific challenges you face. Insights developed since our founding in 1996, through countless hours of client services provided by our stellar consultant team.

Working with us, you would join a roster of clients and partners that includes leaders within several key industries, including telecommunications, logistics, insurance, software development, hospitality, financial services, and healthcare. All benefiting from our lifecycle IT solutions, delivered through processes which are at par with CMMI Level 3. These include development, migration, testing, support, and maintenance; as well as superior IT staff augmentation service..

View the full profile