Complex Claims Consultant, Healthcare
Texas, United States of America
Full Time
1 week ago
$72,000 - $141,000 USD
No Visa Sponsorship
Key skills
Negotiation
About this role
Role Overview
- Manages an inventory of highly complex commercial claims
- Ensures exceptional customer service by managing all aspects of the claim
- Verifies coverage and establishes timely and adequate reserves
- Leads focused investigations to determine compensability, liability, and covered damages
- Resolves claims by collaborating with internal and external business partners
Requirements
- Bachelor's Degree or equivalent experience
- Typically a minimum six years of relevant experience, preferably in claim handling
- Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable
- Prior negotiation experience
- Professional designations preferred (e.g. CPCU)
Benefits
- Comprehensive and competitive benefits package
- Health insurance
- 401(k) matching
- Paid time off
- Professional development opportunities