Claim Specialist

The Claim Specialist supports the team in managing No Surprises Act compliance by reviewing medical claims, tracking deadlines, drafting settlement agreements, and preparing submissions for Independent Dispute Resolution. The role involves handling balance billing and overpayment matters, negotiating charge adjustments with providers, and resolving payment disputes. This position requires strong communication skills, the ability to multitask in a fast-paced environment, and a proactive approach to claim management.