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Duties
The Social Insurance Specialist (Claims Specialist) reviews and authorizes claims and other complex determinations for benefits under Titles II, XVI and/or XVIII of the Social Security Act. Claims Specialists conduct interviews with the public to obtain, clarify, and verify information about initial and continuing eligibility for retirement, survivors, disability, health insurance benefits, and eligibility for supplemental security income including State supplements. In addition, they resolve discrepancies, clarify issues and make final decisions for initial and post-entitlement for benefits and payments; adjudicate and authorize entitlement or disallowance actions at all levels of difficulty and complexity under programs administered by SSA; and use state of-the-art technology to access and update claims information. Adjudicates and authorizes entitlement or disallowance actions at all levels of difficulty and complexity under programs administered by SSA. Develops, investigates, and resolves claims and post-entitlement actions that may involve suspension, resumption, adjustment, or termination of eligibility, or payments.
Requirements/Conditions of Employment:
Job Type: Full-time
Pay: $40,405.80 - $61,908.07 per year
Benefits:
Schedule:
Work setting:
Experience:
Ability to Commute:
Work Location: Hybrid remote in Concord, NC 28027
Full Time
Public Administration
$73k-93k (estimate)
04/17/2024
04/22/2024
NEW YORK, NY
200 - 500
2019
$5M - $10M
Public Administration
The job skills required for Claim Specialist include Customer Service, Life Insurance, Health Insurance, etc. Having related job skills and expertise will give you an advantage when applying to be a Claim Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Claim Specialist. Select any job title you are interested in and start to search job requirements.
If you are interested in becoming a Claim Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Claim Specialist for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Claim Specialist job description and responsibilities
The specialist reports and processes these claims by researching the policy and accumulating evidence regarding the claim.
01/14/2022: Bellingham, WA
They help analyze and investigate complicated insurance claims to help prevent fraud.
03/20/2022: Pierre, SD
Claims specialists must also compile reports and communicate regularly with supervisors and managers regarding the status of claims.
01/26/2022: Medford, OR
In some other cases, if necessary, calim specialists provide well-informed court testimonies.
01/27/2022: Fayetteville, NC
They must treat clients fairly and equitably, but also make sure claims are legitimate and reasonable.
01/30/2022: Johnstown, PA
Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Claim Specialist jobs
Claims specialists are required to follow the California Health and Safety Code when accepting or denying claims.
01/16/2022: Fort Lauderdale, FL
As a claim specialist you may be occasionally must deal with hostile individuals in emotionally charged settings.
02/12/2022: Ventura, CA
Claim numbers may be formatted differently on different OPM documents.
03/03/2022: Anchorage, AK
Secure a license or relavant training to land a job as claim specialist.
02/26/2022: New York, NY
As a claim specialist it is obvious that you would be dealing with lots of information. Thus you must have knowledge of data management systems and processes.
03/15/2022: Shreveport, LA
Step 3: View the best colleges and universities for Claim Specialist.