Appeals Specialist

A company is looking for an Appeals Specialist responsible for monitoring and tracking the status of appeals related to the Advocate program.

Key Responsibilities

Log and track all appeals received

Review appeal and supporting documentation, including Summary Plan Documents

Document appeal status and outcomes in the Qiclink system and coordinate responses with business partners

Required Qualifications

Bachelor's degree or equivalent work experience required

2 years of experience handling medical claims appeals required

Proficient with Microsoft Office Suite or related software required

Ability to analyze claim situations and take appropriate actions

Ability to learn new systems