Medical Claims Specialist: Precision Adjudication

Sutherland; Manchester; On-site; GBP 25,000 - 35,000; Full time

Job summary

A leading claims management firm is seeking a motivated Customer Service Consultant to join their team in Manchester. The ideal candidate will have over a year of medical claims processing experience along with strong analytical and communication skills. Key responsibilities include reviewing incoming claims, analyzing documentation for accuracy, and collaborating with internal teams to resolve issues. This role requires a commitment to high-quality service and attention to detail, making it a fulfilling opportunity in a dynamic workplace.

Qualifications

• Minimum of 1+ years of claims processing experience preferred.
• Familiarity with medical terminology and clinical documentation required.
• Strong analytical and critical-thinking skills are necessary.

Responsibilities

• Review and process incoming claims according to guidelines.
• Analyze claim information and determine eligibility.
• Document all claim actions clearly and accurately.

Skills

Claims processing experience

Analytical skills

Attention to detail

Communication skills

Organizational skills

Education

High school diploma or equivalent

Associate degree or certification in medical billing

Tools

Claim systems

Microsoft Office

Job description

A leading claims management firm is seeking a motivated Customer Service Consultant to join their team in Manchester. The ideal candidate will have over a year of medical claims processing experience along with strong analytical and communication skills. Key responsibilities include reviewing incoming claims, analyzing documentation for accuracy, and collaborating with internal teams to resolve issues. This role requires a commitment to high-quality service and attention to detail, making it a fulfilling opportunity in a dynamic workplace.