Become a Senior Claims Examiner with HIROC, a leader in healthcare insurance, through a 15-month contract. This hybrid role focuses on detailed claims analysis and the application of risk management strategies.
As the Senior Claims Examiner, your responsibility includes assessing claims, managing negotiations, and providing insights to system-wide improvements. With your 8-10 years of experience, you will engage with legal proceedings and policy interpretation, directly impacting the efficiency and safety of healthcare management. Your analytical mindset will drive enhancements across various claims processes.
Key Responsibilities:
• Conduct in-depth claims analysis and set reserves
• Manage negotiations with attorneys and stakeholders
• Authorize and review mediation expenses
• Present findings to healthcare administrators
• Provide mentorship and training to junior staff
Requirements:
• At least 8-10 years in claims processing or related fields
• Post-secondary education or equivalent
• Completed or enrolled in CIP, FCIP, or CRM courses
• Experience in medical malpractice claims is advantageous
• Robust organizational and communication skills
Drive performance improvement and contribute significantly to healthcare risk management with HIROC.
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