Claims Case Manager

Job Summary

A company is looking for a Claims Case Manager I, Supplemental Insurance.

Key Responsibilities

• Investigate and analyze claim information to determine coverage and benefit eligibility
• Review claim documentation to establish benefits and determine service codes and amounts for processing
• Communicate claim status and decisions to claimants, planholders, and physicians

Required Qualifications and Education

• College degree preferred or equivalent work experience
• Claim processing experience preferred or working knowledge of claims processes
• Demonstrated computer skills with knowledge of MS Word/Excel/PowerPoint
• Knowledge of Supplemental Health products and claims procedures preferred
• Ability to handle multiple tasks and respond rapidly to changing priorities