🛠 Tech Stack

💼 About This Role

You'll accurately process medical claims while ensuring compliance with plan documents and industry regulations. Your work will directly support cost containment for self-funded benefit programs. This role offers remote flexibility within Kentucky.

🎯 What You'll Do

• Adjudicate new claims and process adjustments
• Review and resolve appeals and subrogation cases
• Manage individual inventory to meet production goals
• Respond to internal and external inquiries within timeframes

📋 Requirements

• At least 2+ years of experience in insurance claims processing
• Experience reviewing and finalizing claim payments for accuracy
• Ability to interpret and apply plan documents
• Understanding of claim review processes and benefit plan design