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Medical Claims Processor - Remote / Telecommute

Virtual Vocations Inc

Proactively identifying and triaging complex claims issues, the full-time Complex Claims Analyst will analyze data, manage referrals, and expedite resolutions while working remotely.

Key responsibilities

Analyzes data to identify complex claims requiring further intervention and triages referrals from regulatory agencies and external entities

Determines the most appropriate resource to resolve complex claim issues or complaints

Documents clear and concise file notes to facilitate stakeholder understanding of issue evaluations and determinations

Required qualifications

Five (5) years of liability claims experience or equivalent combination of experience and education

Preferred Bachelor's degree from an accredited college or university

Subject matter expertise in liability and transportation claims processing

Ability to manage claims across multiple jurisdictions

Licenses as required for specific jurisdictions preferred

Vacancy posted 2 days ago
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