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System One Services Clinical Claims Examiner in Oriskany, New York

Clinical Claims ExaminerOriskany, New York

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Type:Contract

Category:Healthcare

Job ID:85984

Date Posted:08/08/2019

MOUNTAIN, LTD. has an opening for a Clinical Claims Examiner in Oriskany, NY.

Since 1979, MOUNTAIN, LTD. has successfully created and supported the most innovative career pathways for job seekers. Our dedicated internal vendor management has a longstanding relationship across diverse industries, ranging from telecom to insurance. In the evolving landscape of employment, MOUNTAIN has relationships with some of the top companies across the nation.

  • This is a 6-month contract with potential for longer-term employment.

Responsibilities

  • Reviews assigned cases or escalated cases, to determine if Life or Disability insurance should be approved.

  • Compiles, reviews, records, and analyzes data to make underwriting decisions.

  • Examines and processes Statement of Health Applications; determines whether to return, put on pending, deny, approve or request additional medical information.

  • Follows established Statement of Health policies and practices to resolve issues.

  • Must be able to work well within a team of 15-20 during non-peak, and a team of 40-60 during peak season.

  • Ability to multi-task; processing applications, answering phones, and helping people on the team with questions.

  • Interpersonal communication skills must be strong.

  • Written communications must be professional.

  • Performs other related duties as assigned or required.

Requirements

  • High school Diploma

  • Licensed Practical Nurse with current state license

  • Ability to put the team first.

  • In order to post for this position, you need the proper work authorization to work in the country where the position is located and not require relocation assistance

Thank you for your interest in MOUNTAIN, LTD. For more information, please contact Sharmy Mitchell:sharmy.mitchell@mountainltd.com

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