Health Claims Report Specialist

I need support inside our TPA team to keep every medical claim visible, accurate, and easy for members to understand. Your core focus will be preparing up-to-date claim tracking reports and promptly answering members who call or email asking, “Where does my claim stand?”

Scope of work
Most mornings you will pull the latest data from our insurer portal, update the spreadsheet or dashboard we already use, and flag anything that still shows as pending. During the day, member inquiries come through our shared mailbox; you will check the report you just updated and give each member a clear, courteous status reply. When a claim is still awaiting a decision, you’ll note the reason so we can escalate if needed.

Required content in every report
• Approval status and any pending reasons

Format can stay in Excel or Google Sheets as long as it remains sortable and ready for weekly export to management.

If you already know basic TPA workflows and health-insurance terminology, the ramp-up will be quick. Accuracy, timely updates, and member-friendly communication are the success markers I will review at the end of each week.