Wisconsin Licensed Claims ConsultantVirtualVocations • Savannah, Georgia, United States
Wisconsin Licensed Claims Consultant
VirtualVocations • Savannah, Georgia, United States
[job_card.variable_days_ago]
[job_preview.job_type]
- [job_card.full_time]
[job_card.job_description]
A company is looking for a LTC Technical Claims Consultant.
Key Responsibilities
Provide technical expertise in handling complex, contestable, sensitive, and large benefit amount claims
Assist staff with claims review, appeals, and legal consultations, including preparation for litigation
Facilitate continuous improvement initiatives and support the development of Claims Analysts and Specialists
Required Qualifications
College degree or equivalent experience with five+ years in medical and claims / underwriting
In-depth knowledge of high dollar and contestable claims
Strong understanding of disability income, life waiver of premium, death, and long-term care claims
Proven ability to lead and mentor others effectively
Extensive knowledge of medical and legal terminology, underwriting principles, and claim administration
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