Start Date: 1/06/2025

Work Schedule: Monday - Friday (8:00 AM to 5:00 PM)

This job is responsible for resolving the day-to-day complex claims and escalations including in-depth analysis for fraud and non-fraud claims, handling complex decisions based on analytical research, established policies and procedures, and judgment. Key responsibilities include following all applicable regulatory guidelines and establishing procedures while utilizing multiple systems and tools. Job expectations include interacting with multiple business partners and clients in order to educate, set appropriate expectations, or deny the claim.

Responsibilities:

Interacts with multiple business partners to appropriately investigate and decision claim
Follows up with clients either verbally or through written communication
Educates and communicates claim decisions to clients
Records data captured during client interactions accurately
Skills:

Attention to Detail
Decision Making
Due Diligence
Research
Active Listening
Adaptability
Issue Management
Problem Solving
Business Acumen
Collaboration
Oral Communications
Written Communications
Shift:

1st shift (United States of America)
Hours Per Week:

40