Job Summary

A health insurance company has a current position open for a Telecommute Appeals Representative.

Core Responsibilities of this position include:

• Researching and resolving written complaints submitted by consumers and physicians
• Ensuring complaint has been categorized correctly
• Obtaining additional documentation required for case review

Required Skills:

• 2+ years of medical claims processing experience within an insurance company
• 1+ year analyzing and solving customer problems OR 1+ year in a related environment
• Intermediate skills with computer and Windows PC applications
• Microsoft Excel
• Microsoft Word
• Microsoft Outlook