Claim coder/specialist

• Summary Description**-
  
  

We are looking for a highly-analytical Claims Specialist to join our company's insurance department. You will be responsible for reviewing client claims, determining allowable benefits, and if necessary, provide professional testimony in a court of law.

• Responsibilities**- Analyze and investigate complicated insurance claims to help prevent fraud.
• Perform detailed site inspections.
• If necessary, provide well-informed court testimonies.
• Review and process new claims reports and court verdicts.
• Uphold relationships and communication with insurance departments and clients.
• Organize and present claim review plans.
• Negotiate settlements.
• Resolve claims in a timely manner.
• Stay up-to-date on local, state and federal law changes in the insurance field.
• Qualifications**- High school diploma or equivalent.
• A minimum of 3 years' in a similar position.
• Strong analytical and organizational skills.
• Excellent knowledge of the latest local, state and federal insurance-related policies.
• Superb interpersonal and communication skills.
• Good understanding of insurance claims negotiation and settlement techniques.
  
  

Benefits

Dental insurance

Health insurance

Paid time off

Vision insurance

Experience

Processing Medicare Enrollments: 2 years (Required)