Description

You will investigate claims to determine validity and coverage, resolving issues through detailed analysis and decision-making.

This role is remote.

Responsibilities

• Investigate claims to determine validity and coverage.
• Resolve claims through detailed analysis and decision-making.
• Manage file handling processes for accuracy and compliance.
• Maintain professional interpersonal relationships during the resolution process.

Required Skills

• 5+ years of experience in claims processing or related fields.
• Strong analytical skills for complex claim evaluation.
• Proven expertise in claim investigation techniques.
• Proficiency in claims resolution workflows.
• Effective file handling and documentation management.
• Strong interpersonal skills for stakeholder communication.

Preferred Skills

• Bachelor's degree or any graduate-level education.

Key Skills

Education

ANY GRADUATE