Health Appeals Associate

🔥 22 hours ago

🌾 Nebraska, North Carolina – Remote

🌾 Nebraska – Remote 🌲 North Carolina – Remote

💵 $30 - $35 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 10%

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• Open for 1 day.
• Jobs at this company usually fill in 25 days.
• Reposted once.

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Lincoln Financial

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1905

💼 Consulting

⚖️ Legal

💸 Finance

Consulting • Legal • Finance

Lincoln Financial is an organization dedicated to protecting the privacy and security of its job applicants. It actively informs candidates about potential recruitment scams and outlines its robust hiring procedures, making clear that they do not request sensitive personal information during the application process. The company offers a diverse range of career opportunities across various fields including actuarial, finance, legal, and customer service, and is committed to maintaining equal employment opportunities.

📋 Description

• Serve as a product subject matter expert for multiple voluntary Supplemental Health product lines • Perform full, fair reviews and adjudicate appeal decisions for Accident, Critical Illness, and Hospital Indemnity claims • Analyze and manage a caseload of Supplemental Health appeals claims • Review, investigate, and determine appeals regarding coverage, compensability, and claim appropriateness • Provide technical information and detailed guidance to Claims management and teams regarding products, claims processes, regulations, and applicable systems • Communicate with claimants and employers to obtain complete information for appeal reviews • Apply knowledge of coverage, certificate provisions, eligibility, and benefits in appeal reviews • Apply knowledge of Supplemental Health insurance products, claims processes, and certificates to render appeal decisions • Identify, interpret, and resolve gaps in financial calculations • Share technical knowledge and approaches regarding financial calculations with Claims • Ensure appeals processing follows applicable policies, procedures, and department guidelines • Research questions and escalations and liaise with Enrollments, Legal, Compliance, Account Management, and other stakeholders

🎯 Requirements

• 2+ years of experience in Supplemental Health Claims: Accident, Critical Illness, Hospital Indemnity (Required) • Strong written and verbal communication skills • Excellent organizational skills with the ability to multi-task • 4 Year/Bachelor's degree (Strongly preferred)

🏖️ Benefits

• Clearly defined career tracks and job levels • Leadership development and virtual training opportunities • PTO/parental leave • Competitive 401K and employee benefits • Free financial counseling, health coaching and employee assistance program • Tuition assistance program • Work arrangements that work for you • Effective productivity/technology tools and training • Annual Incentive Program eligibility (discretionary) • Long-term incentives may be available • Sales incentives may be available • Standard benefits package

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