Healthcare Claims Adjuster

Job Summary

A company is looking for a Senior Claims Specialist- Healthcare.

Key Responsibilities

• Conduct detailed analysis to investigate claims exposure and recommend settlement strategies
• Create reservation of rights and coverage denial letters, and negotiate settlements
• Document claim activity and coach less experienced adjusters

Required Qualifications

• High School Diploma
• Minimum of 7 years related claims experience
• Active Adjusters' licenses and willingness to obtain additional licenses
• Knowledge of industry standards and practices
• Computer experience with claims and business software