Job Summary
A company is looking for a Senior Claims Specialist- Healthcare.
Key Responsibilities
- Conduct detailed analysis and recommend settlement strategies for claims
- Create documentation such as reservation of rights and coverage denial letters, and negotiate settlements
- Coach and mentor less experienced adjusters while ensuring compliance with policies and regulations
Required Qualifications
- High School Diploma
- Minimum of 7 years related claims experience
- Active Adjusters' licenses or willingness to obtain them
- Knowledge of industry standards and practices
- Computer experience with claims and business software
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