Healthcare Claims Adjuster

Job Summary

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

Key Responsibilities

• Conduct detailed analysis to investigate claims exposure and recommend settlement strategies
• Create coverage denial letters and negotiate settlements with involved parties
• Document claim activity and coach less experienced adjusters

Required Qualifications

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