Health Insurance Stakeholder Engagement Specialist

Job Summary

A company is looking for a Health Insurance - Stakeholder Engagement Specialist.

Key Responsibilities

• Review case documentation and render independent determinations in accordance with IDRE guidelines
• Accurately complete case-related documentation, reporting, and government portal data entry
• Manage stakeholder communications, including requests for information, withdrawals, and inquiries

Required Qualifications

• Bachelor's degree in health care administration, insurance, or related field (or equivalent experience)
• Minimum 3 years of experience in health insurance claims, coverage, or related field
• Trained on both EIS and HIS review for a minimum of 6 months
• Strong analytical skills with the ability to interpret complex documentation
• Experience engaging with diverse audiences in a professional manner