New Jersey Appeals Analyst

Job Summary

A company is looking for an Appeals Analyst to manage appeals related to medical claims.

Key Responsibilities

• Conduct comprehensive reviews on provider bill denials and manage appeals
• Review and respond to provider bill appeals for auto claims across multiple carriers
• Ensure compliance with NJ state auto PIP regulations and address issues with appropriate departments

Required Qualifications

• Bachelor's degree from an accredited college or university
• Knowledge of prior carrier or adjuster experience
• Knowledge of New Jersey No Fault PIP regulation, 1-2 years preferred
• Experience in a dynamic, time-sensitive environment