Remote Jobs
Med Sup Claim Analyst - Remote
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Job Description
- Req#: 503387
Employer Industry: Insurance Services
Why consider this job opportunity:
- Estimated hourly wage up to $22.00, plus annual bonus opportunity
- Benefits include a 401(k) plan with a 2% company contribution and 6% company match
- Up to 15 days of vacation each year for regular associates working 40 hours a week
- 11 paid holidays in 2024, including 2 floating holidays for personal use
- Opportunity to work remotely with access to a high-speed internet connection
- Supportive work environment that values diversity and inclusion
What to Expect (Job Responsibilities):
- Evaluate complex claims based on medical records, contract language, and other data to determine payment or denial outcomes
- Communicate with internal and external customers through various channels to obtain claim details and provide exceptional service
- Participate in process enhancements and adhere to company policies and industry regulations
- Collaborate with peers and departments to foster trust and support team and customer success
- Meet productivity and quality standards while proactively taking actions to ensure customer satisfaction
What is Required (Qualifications):
- Experience reviewing complex claims using medical records and contract details
- Ability to communicate effectively with customers via phone and email
- Knowledge of company policies and regulations
- Strong relationship-building skills with both internal and external customers
- Ability to meet productivity and quality standards while adapting to changes
How to Stand Out (Preferred Qualifications):
- Current working knowledge and experience in med sup claims
- Familiarity with insurance products within the business area
- Knowledge of medical terminology
#InsuranceServices #ClaimsEvaluation #RemoteWork #DiversityandInclusion #CareerOpportunity
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