Claims Resolution Specialist

Work Environment

Hours- Monday through Friday 8am to 4:30pm or 8:30am to 5pm

Hybrid opportunity after a month of training

You may be required to work overtime during peak seasons, especially during abnormal weather conditions. Our brand-new office in Naperville offers a modern, energetic environment, complete with a gym, basketball court, coffee shop, convenience store, and a well-equipped kitchen. Dress code is casual, reflecting the dynamic and collaborative work atmosphere.

Responsibilities

• Arrange with appropriate network and non-network providers to complete claims that cannot be automatically dispatched.

• Process provider inquiries and assist with special handling claims and service follow-up.

• Handle both inbound and outbound calls, manage provider paperwork, and maintain provider profiles.

• Coordinate with other teams to ensure workflow and queue management.

• Develop and nurture relationships with key vendors, customers, and team members.

• Engage daily with potential new leads, offering impeccable support.

• Document and track various activities and requests in company systems.

• Adhere to policies and procedures for daily tasks.

• Find providers to service claims when no in-network provider is available.

• Respond to email inquiries and interpret contract language related to enrollments, contracts, and agreements.

• Facilitate emergency or urgent work orders by coordinating with both customers and contractors.

• Research and negotiate one-time agreements with contractors not under agreement.

• Dispatch work orders following established guidelines.

• Proactively review open claims and follow up with contractors.

• Respond promptly to emails regarding the status of open claims.

• Prepare and respond to data requests and execute work orders, service orders, and error reports.

Qualifications:

• Experience with Microsoft Office, including Excel and Word.

• 3+ years of recent customer service (within an office setting) and experience in operations coordination.

• Excellent communication skills, both written and verbal.

• Ability to work in a fast-paced environment.

• Strong organizational and time management skills.

• Demonstrated critical thinking and problem-solving abilities.

• Ability to anticipate and embrace change.

• Collaborative team player with a strong work ethic.

Pay and Benefits

The pay range for this position is $24.00 - $27.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a hybrid position in Naperville,IL.

Application Deadline

This position is anticipated to close on Sep 23, 2025.

About Aston Carter:

Aston Carter provides world-class corporate talent solutions to thousands of clients across the globe. Specialized in accounting, finance, human resources, talent acquisition, procurement, supply chain and select administrative professions, we extend the capabilities of industry-leading companies. We draw on our deep recruiting expertise and expansive network to meet the evolving needs of our clients and talent community with agility and excellence. With offices across the U.S., Canada, Asia Pacific and Europe, Aston Carter serves many of the Fortune 500. We are proud to be a ClearlyRated Best of Staffing® double diamond winner for both client and talent service.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email (% ) for other accommodation options.