Job Overview:

We are looking for a Claims Adjudication Specialist to join our team in Corona, California. In this role, you will be responsible for reviewing and processing insurance claims to ensure accuracy and compliance with regulations.

Job Details:

The Claims Adjudication Specialist will play a crucial role in the insurance claims process by analyzing claims, determining coverage, and resolving any discrepancies to facilitate timely claim settlements.

Responsibilities:

• Review insurance claims for accuracy and completeness.
• Analyze claim information to determine coverage and benefits.
• Resolve any discrepancies or issues with claims.
• Communicate with claimants, providers, and insurance companies.
• Ensure compliance with insurance regulations and company policies.

Requirements:

• Previous experience in claims processing or healthcare administration.
• Strong attention to detail and analytical skills.
• Knowledge of insurance policies and regulations.
• Excellent communication and problem-solving abilities.

Benefits:

• Competitive salary and benefits package.
• Opportunity for professional growth and development.
• Work in a collaborative and supportive team environment.

Other Details:

This position is ideal for individuals looking to contribute to the insurance industry in Corona, California. If you are passionate about accuracy, compliance, and helping individuals navigate the claims process, we encourage you to apply.