Medicare Adjuster
- Full-time
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
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Medicare • San Buenaventura, California, United States