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Senior Claims Processor- Remote

Scangroup

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the "12 Angry Seniors." Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults.

We are building the future of care for older adults, grounded in purpose, accountability, and respect for the people and communities we serve.

Senior Claims Resolution Analysts are responsible for investigating and resolving complex insurance claims. They analyze claim data, review policies, communicate with policyholders and other stakeholders, and negotiate settlements. Senior analysts may also mentor and train junior analysts, provide guidance on difficult cases, and assist with process improvement initiatives. Requests additional information, when necessary, for completion of claim processing

Reviews claims for eligibility

Assists in claims cost control

Contacts individuals about claims and may provide counsel regarding the amount of benefits

Performs work under direct supervision.

  • Work Mode: Mostly Remote
  • An annual employee bonus program
  • 11 paid holidays per year, plus 1 additional floating holiday
  • Excellent 401(k) Retirement Saving Plan with employer match
  • Tuition reimbursement
  • An opportunity to become part of a team that makes a difference to our members and our community every day!

Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.

Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information.

Vacancy posted more than 2 months ago

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