Medicare Adjuster

A company is looking for a Medicare Adjuster - Analyst II.

Key Responsibilities

Handle medical portions of auto accident claims under personal injury protection and medical payment benefits

Determine coverage, assess medical claims and bills, and investigate potential fraud

Manage Medicare lien letters, open debt cases, and participate in governmental lien resolution projects

Required Qualifications

Experience in claims adjusting, particularly related to Medicare and auto accidents

Ability to work independently and manage workload effectively

Familiarity with Medicare, Medicare Advantage Plans, and Medicaid processes

Understanding of policy coverage, limits, and reserves

Comfortable with phone communication as part of job duties