Claims Case Manager

Job Summary

A company is looking for a HC and Insurance Operations Analyst.

Key Responsibilities:

• Manage the entire claims process from intake to final decision
• Provide frequent status updates to claimants through their preferred communication channels
• Thoroughly review medical documents, claim forms, and policy notes

Required Qualifications:

• 2 years in an analytical role reviewing medical benefits and claims
• 2 years of claims adjudication experience, preferably in life and supplemental products
• 4 years of experience reviewing and assessing medical records
• Minimum high school diploma or GED; college degree preferred
• At least 1 year of experience working from home with proven productivity and quality