Senior Appeal Examiner

Job Summary

A company is looking for a Senior Appeal Examiner - Work From Home.

Key Responsibilities

• Manage resolution of complaints/appeals for various products, coordinating responses from multiple business units
• Ensure timely and customer-focused responses to complaints and appeals
• Identify trends and emerging issues, reporting and recommending solutions

Required Qualifications

• 1+ years knowledge of plan documents, claims research, and letter writing
• 1+ years working with appeals, claims, or compliance
• 1+ years experience with documenting and interpreting Health Insurance plans
• Understanding of Excel and Word
• Healthcare experience