Insurance Claims Specialist

5 days ago


Cambridge, Massachusetts, United States Ternium Full time
Job Title:

Insurance Claims Specialist

About the Role:

We are seeking an experienced Insurance Claims Specialist to join our team at Ternium. As a key member of our healthcare team, you will be responsible for representing our clients in disputes with medical insurance carriers and managed care organizations.

Responsibilities:
  • Represent clients in denied claim disputes through an administrative appeals process
  • Develop innovative arguments to effectuate positive resolution of denial medical claims
  • Draft complex appeal letters to insurance organizations and benefit administrators
  • Work directly with provider representatives and enhanced resolution units to resolve complex issues
Requirements:
  • Juris Doctor required
  • State Bar Membership (preferred)
  • Strong analytical and problem-solving skills
  • Excellent written and verbal communication skills
Benefits:
  • Full-time position with competitive salary: $55,000-$65,000 per year
  • Remote work opportunities
  • 401(k) with corporate match
  • Dental insurance
  • Employee assistance program
  • Flexible schedule
  • Health insurance
  • Vision insurance
  • Life insurance
  • Paid time off
  • Bar Due reimbursement
  • Bonus opportunities


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