Overview In this role you evaluate and authorize claim dispositions, review medical records and financial documents, and communicate with policyholders, attorneys, medical facilities, and other stakeholders. You work in a hybrid setup, combining in-office and remote duties to support timely claims processing. You'll operate under supervision while applying analytical judgment on cases. This position fits a service-driven team aiming to uphold compliance and quality in claims handling.
Compensation / Benefits- 401(k) Retirement Plan with company match
- Tuition Reimbursement and Assistance
- Flexible Hybrid work
- Paid time off (PTO)
- Health Benefits: Medical, Dental, Vision
- Health Savings Account (HSA) with employer contribution
Responsibilities- Evaluate and authorize disposition of claims
- Obtain and review medical records and financial documents
- Correspond with policyholders, attorneys, medical facilities, reinsurers, outside vendors, and insured's employer
- Perform all claims processing support functions
Key requirements- Associate's degree or equivalent experience
- 0-2 years of related experience
- communication skills
- attention to detail
- problem-solving
- claims processing
- medical records review
- documentation management
