Remote Benefit Adjuster II

Job ID: Available for Members

Location: Nationwide

Compensation: To Be Discussed

Posted: Thursday, November 08, 2018

Job Category: Insurance, Investigations

Telecommute Level: Majority

Travel Requirements: Field Travel Required, Some Travel

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Job Summary

A health insurance company has a current position open for a Remote Benefit Adjuster II.

Core Responsibilities of this position include:

  • Acting as a direct contact and communicates with internal and external Customers and medical providers
  • Evaluating, processing and/or auditing claims that require moderate to complex judgement and investigation
  • Providing customers with direction and assistance in all facets of insurance coverage and needs

Qualifications Include:

  • Travel up to 10%
  • 3 to 5 years
  • Associate degree area of study required or equivalent business experience
  • Good understanding of medical terminology and physiology
  • Possesses PC Windows-based software knowledge
  • Knowledge of case management tools and ability to apply