About the job
**Job Type:** Full time **Exempt/Non Exempt:** Salary **Job Description:** **Job Description** **Location Details: Hybrid** **Position Schedule / Shift:** Monday-Friday 8am-5pm ET **Position Summary:** As a Claim Specialist, you will evaluate coverage, assess claim exposures, and make informed decisions that drive fair and timely resolutions. Working closely with members, medical providers, attorneys, and internal partners under minimal supervision, you'll manage challenging and complex claim scenarios while ensuring compliance with applicable regulations and company…