West Virginia Licensed Claims Specialist

Job Summary

A company is looking for a Medical Claims Specialist - Remote WV.

Key Responsibilities

• Review and analyze insurance claims for validity and coverage eligibility
• Ensure compliance with company policies and regulatory guidelines
• Investigate discrepancies and maintain accurate records of claim decisions

Required Qualifications

• High school diploma or equivalent (Bachelor's degree preferred)
• Prior experience in claims processing or insurance
• Knowledge of insurance laws and industry regulations
• Strong analytical skills
• Organizational abilities