Role OverviewAs the Healthcare Claims Examiner, you will directly handle Commercial Healthcare Claims across the U.S. You will ensure compliance with established claim handling guidelines and provide oversight on claims portfolios.
What You Will Do
You will gather and analyze information to make an accurate evaluation of the claim, establish reserves, and resolve complex and/or high exposure claims. You will also work with external customers, attend meetings, and undertake general office administrative duties.
Why It Might Be a Fit
You will be a self-starter with strong communication and writing skills, able to work independently and as a team member. You will have a minimum of 3 years of claims adjusting or legal experience and be licensed as a claims adjuster in your home state.
Requirements
- College degree or equivalent experience
- Licensed as a claims adjuster in their home state
- Minimum 3 years of claims adjusting or legal experience
- Experience handling Primary and Excess claims
- Ability to travel for meetings, mediations, and trials
- Strong communication and writing skills
- Detail oriented and organized
- Ability to work independently and as a team member
- Self-starter with problem solving skills
Benefits
- Competitive salary
- Medical, dental, vision, and life insurances
- Short and long-term disability
- 401(k) plan with 100% company match
- Employee Assistance Plan
- Health Savings Account
- Flexible Spending Account
- Health Reimbursement Account
- Wellness program
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