Telecommute Medical Resolution Specialist

Job ID: Available for Members

Location: Michigan, Minnesota

Compensation: To Be Discussed

Staff Reviewed: Fri, Mar 29, 2019

Job Category: Insurance, Investigations

Telecommute Level: Majority

Travel Requirements: Field Travel Required, Some Travel

Weekly Hours: Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced

Additional Information: Benefits Available

Job Summary

An insurance company is filling a position for a Telecommute Medical Resolution Specialist.

Core Responsibilities Include:

  • Handling medical claims including medical payments both first and third party,
  • Investigating and gathering information, including taking statements as necessary
  • Determining and continually evaluating appropriate reserves

Required Skills:

  • Ability to attend seminars and workshops as required
  • College degree or equivalent
  • Experience as a claims resolution specialist or equivalent experience in insurance health care
  • Strong knowledge of all first party medical policies and coverages
  • Strong knowledge of medical terms and treatments
  • Strong investigative and organizational skills and the ability to work independently