Claims Specialist

📋 Description

• • The Claims Specialist is responsible for properly reviewing and processing claims for various Employer benefit plans according to IRS regulations and specific employer plan rules, ensuring accuracy and compliance in a detail-oriented, fast-paced environment.
• • Day-to-day duties include daily claim processing, accurately processing all FSA claim types, determining eligibility using available resources, prioritizing workload to meet turnaround times, processing claim appeals, troubleshooting software issues, assisting with operational functions, coordinating with other departments, supporting Claims Supervisors on projects, developing and updating procedures, promoting continuous learning, and communicating process improvements.
• • WEX Inc. is a leading provider of corporate payment solutions, offering innovative benefits administration services to employers nationwide, with a focus on compliance, efficiency, and employee well-being.
• • In this role, the individual will develop deep expertise in healthcare benefits administration, IRS regulations, and claims adjudication, while building skills in process improvement, cross-functional collaboration, and operational excellence, positioning them for advancement within WEX’s operations or HR-related teams.