Lead Claims Triage & Adjudication Analyst

EmblemHealth is seeking a Claims Processing Specialist in New York, NY, with expertise in claims adjudication and procedural oversight. The ideal candidate will have a Bachelor's degree and extensive experience in claims processing, including managerial or supervisory roles in healthcare. Key responsibilities include resolving claims issues, conducting root cause analysis, and ensuring compliance with regulations. Excellent communication and organizational skills are essential for handling multiple priorities efficiently.
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