About US: At Cogent Infotech, we believe in creating opportunities that empower individuals and transform organizations. With over 21 years of excellence in consulting and talent solutions, we pride ourselves on building inclusive workplaces and driving innovation in everything we do. Our diverse teams bring unique perspectives to help deliver cutting-edge solutions to global clients across both public and private sectors. Job Title: TEMP - Claims Resolution Specialist (Customer Service) Location: Orange, CA (92868) Duration: Contract Shift: Monday – Friday 8:00 am – 5:00 pm Pay: USD 24/hr – USD 28/hr on W2 Description : The client is seeking a highly motivated Temporary - Claims Resolution Specialist (Customer Service) to join their team. The Claims Resolution Specialist will be the first line of contact for the client's providers. The incumbent will assist providers with questions related to the payment of claims and the resolution of claims payment issues. Responsibilities: + Claims Support - Responds to provider questions and researches issues regarding claims payments, denials, resolves claim issues, contractual and/or client agreements, established payment methodologies, division of financial responsibility, applicable regulatory legislation, claims processing guidelines, and company policies and procedures. + Follows up with providers as needed. + Administrative Support - Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity, and accountability and assists the team in carrying out department responsibilities + Routes escalated calls to the appropriate departments and/or management. Minimum Qualifications: + High School diploma or equivalent PLUS 2 years of experience in claims resolution required. + 1 year of call center experience with high call volumes or customer service experience required. + 1 year of HMO, Medi-Cal/Medicaid, and healthcare/managed care experience required. Preferred Qualifications: N/A Required Licensure / Certifications: N/A Application Process Resume Review Initial discussion Video Screening Client Interview Cogent Infotech is a leading tech consulting firm headquartered in Pittsburgh, PA, offering cutting-edge digital transformation solutions in Cloud, Cybersecurity, Data Analytics and AI. ISO-certified and CMMI Level 3 appraised, we proudly partner with 70+ Fortune 500 companies and 150+ government agencies. Cogent is an equal opportunity employer and does not discriminate based on any protected status under applicable law.