Senior Specific Claim Auditor
GAIC Great American Insurance Company(1 month ago)
About this role
The role involves handling and adjudicating high-dollar and complex medical stop-loss claims, maintaining documentation for audit purposes, and ensuring compliance with regulations. The position requires effective communication with various stakeholders, process improvement, and mentoring junior staff. It is a senior-level position within the medical stop-loss insurance domain.
Required Skills
- Medical Coding
- Excel
- Claims Processing
- Insurance Claims
- Regulatory Compliance
- Medical Claims
- ICD-10
- CPT
- HCPCS
- Claims System
About GAIC Great American Insurance Company
greatamericaninsurancegroup.comN/A
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