Related skills
communication auditing siu bbb medical_records_review📋 Description
- Lead Appeals role in Specialty Claims; end-to-end process.
- Review medical records and claim history to decide overturn/uphold.
- Provide clear, empathetic determinations to policyholders.
- Communicate determinations to policyholders via calls and emails.
- Liaise with DOI/BBB; support SIU/audits as needed.
🎯 Requirements
- Initiative and independent judgment for complex tasks.
- Excellent written and verbal policy language explanations.
- Analytical thinking in a high-volume environment.
- Team player; collaboration and claims integrity.
- Highly organized; proactive and fast-paced.
- Remote work ability while collaborating with others.
- Active P&C Adjuster License or willingness to obtain.
- Bachelor's Degree or CVT/LVT/RVT or related veterinary experience.
🎁 Benefits
- Comprehensive medical, dental, and vision for you and family.
- HSAs and FSAs available.
- 401(k) with matching.
- 20 days PTO plus anniversary day (max 30).
- 9 paid holidays including floating holiday.
- Pet insurance discount up to 50%.
Meet JobCopilot: Your Personal AI Job Hunter
Automatically Apply to Operations Jobs. Just set your
preferences and Job Copilot will do the rest — finding, filtering, and applying while you focus on what matters.
Help us maintain the quality of jobs posted on Empllo!
Is this position not a remote job?
Let us know!