Arbitration Specialist

Job Summary

Analyzing claims for arbitration, the full-time remote Arbitration Specialist will review and report on medical-legal disputes between healthcare providers and insurance companies while utilizing strong computer skills, particularly in Microsoft Excel.

Key responsibilities

• Analyze claim reports to determine eligibility for arbitration, focusing on ERISA/NSA and state insurance department claims
• Prepare claims for submission to appropriate arbitration portals
• Communicate findings and updates with team leads and managers while managing key tasks and special projects

Required qualifications

• High School Diploma or equivalent
• 1+ years of experience analyzing claim reports for arbitration eligibility
• 1+ years of healthcare experience or experience with healthcare-related claims and disputes
• Familiarity with independent dispute resolution or other arbitration frameworks
• Experience with case management systems or similar tracking tools