Jobs › US jobs › Senior Claims Specialist - USFHP
Renton, WA, United States
Adjudicates all claims submitted by outside purchased services for PMC's enrolled capitated population and communicates those actions. Adjusts complex claims for advanced processing needs. Responds to Customer Service Requests and resolves problem claim situations. Assists in managing the workflow of assigned Line of Business. Acts as primary department resource for at least one major area of expertise (EDI, Health Plan Repricing, Health Plus Repricing, or HPR).
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Collected from the employer's own careers site (Oracle). Posted 26 Jun 2026. TUNAI shows an excerpt and the facts it read from the advert; the employer's page has the full description and the application.
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