Senior Appeal Examiner

Job Summary

A company is looking for a Senior Appeal Examiner.

Key Responsibilities

• Review and analyze complex appeals
• Facilitate the interpretation of policy and coverage guidelines
• Draft resolution letters and ensure timely handling of assigned cases

Required Qualifications

• 1+ years of experience in healthcare, specifically in appeals, claims, and compliance
• 1+ years of experience with plan documents and claims research
• Working knowledge of Microsoft Office products
• High school diploma or GED