Role Overview: As a Senior Process Associate specializing in insurance claim denial handling, you will leverage your legal expertise to oversee the review, analysis, and resolution of denied insurance claims. You will ensure compliance with legal and regulatory requirements while applying best practices to achieve fair and equitable outcomes for claimants.
Claim Denial Review: Conduct thorough reviews of denied insurance claims to determine the validity of the denial, assessing compliance with policy terms, regulatory requirements, and legal standards.
.
Legal Research & Analysis: Legal Writing & Drafting: Critical Thinking & Problem Solving:
Hobbies and Interests: