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LTC Claims Appeals Specialist

Company: VirtualVocations
Location: San Bernardino
Posted on: September 15, 2023

Job Description:

A company is looking for an LTC Claims Appeals Specialist.
Key Responsibilities:

Handle complex adjudication and correspondence while providing superior customer service
Participate in group adjudication sessions and improve claim practices
Collaborate with Legal to ensure compliance and adherence to state legislative laws

Required Qualifications:

Minimum of 3 years of eligibility determination experience in long-term care insurance, disability insurance, and/or worker's compensation
Ability to understand medical conditions and their effect on physical/cognitive function
Able to interpret and understand complex insurance laws and policies
Proven problem-solving and business analysis skills
Demonstrated ability to provide creative solutions to complex problems

Keywords: VirtualVocations, San Bernardino , LTC Claims Appeals Specialist, Other , San Bernardino, California

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