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Appeals Specialist

Company: VirtualVocations
Location: Beaumont
Posted on: October 30, 2024

Job Description:

A company is looking for an Appeals Specialist to review adverse determinations for Short-Term and Long-Term Disability claims.



Key Responsibilities

Manage the investigation of disputed Short-Term and Long-Term Disability claims through the appeals process
Assess medical, financial, and non-medical information to resolve disputed claims
Interpret policy provisions and ensure compliance with state and federal regulations


Required Qualifications and Education

High school diploma or equivalent required; Bachelor's degree preferred
At least three years of experience with Short-Term and Long-Term Disability claims
In-depth understanding of state and federal compliance issues related to claims and appeals
Familiarity with medical terminology and conditions
Proficiency with Microsoft Office, especially Outlook and Word

Keywords: VirtualVocations, Texas City , Appeals Specialist, Other , Beaumont, Texas

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