Healthcare Claims Adjuster

Job Summary

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

Key Responsibilities

• Conduct detailed analysis for investigating claims exposure and recommend settlement strategies
• Create reservation of rights and coverage denial letters, and negotiate settlements
• Document and communicate claim activity efficiently while coaching less experienced adjusters

Required Qualifications

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