Claims Adjudication & Analytics Specialist

A leading claims management company is looking for professionals to evaluate, process, and manage claims efficiently. The role entails assessing eligibility, conducting investigations, and analyzing policy provisions. Strong communication skills are required for interaction with policyholders and healthcare providers. You will ensure compliance with regulatory requirements and contribute to quality assurance initiatives. Extensive reporting and data analysis will be part of this position.

This role is based in South Dakota, offering opportunities to improve claims processing practices.
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