Bilingual Claims Resolution Specialist (English & Spanish)

Bilingual Claims Resolution Specialist (English & Spanish) Position Summary We are hiring freshers and experienced professionals to join our healthcare claims processing team as a Bilingual Claims Resolution Specialist. This role requires fluency in both English and Spanish (oral and written) to communicate effectively with patients, employers, attorney representatives, insurance companies, and other responsible parties in the United States. The specialist serves as a liaison between key client contacts and end patients/employers/attorneys, primarily through phone, email, and written correspondence. Responsibilities Contact end patients, employers, attorney representatives, insurance companies, and other responsible parties in the US using both English and Spanish to gather information required to complete claims. Analyze and evaluate complex claim payments using the client's proprietary software, systems, and tools. Use payment documentation provided by payers to determine reimburs...