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Claims Appeals Specialist at Jobgether - ApplyBlast

Claims Appeals Specialist

Jobgether

25 days ago

Remote

Contract

Medior

0 applicants

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About this role

This role involves researching and resolving member and provider appeals, disputes, and grievances while ensuring compliance with regulatory deadlines. The specialist investigates claims, reviews medical documentation, and applies established protocols to determine appropriate outcomes and resolve payment issues. The position requires strong analytical skills to monitor productivity, communicate resolutions, and identify recurring trends within a remote, contract-based environment.

Responsibilities

Research and resolve member and provider appeals, disputes, and grievances
Investigate claims appeals and grievances using relevant support systems
Prepare concise appeal summaries and written determinations per regulatory requirements

Skills

About Jobgether

jobgether.com

Headquarters

Brussels, Belgium

Company Size

11-50 employees

Founded

2020

View Profile

Jobgether is a remote job platform and career tool designed specifically for senior professionals with 10+ years of experience. It uses AI-powered matching to surface relevant remote and flexible roles, providing match scores, CV review, LinkedIn optimization, and one-click auto-apply. The platform also offers networking guidance and career coaching to help experienced professionals improve their positioning and land the right opportunities faster.