Medical Claims Representative
Company: VirtualVocations
Location: Santa Barbara
Posted on: April 4, 2025
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Job Description:
A company is looking for a Medical Only Claims Representative
(Remote).
Key Responsibilities
Investigates and evaluates assigned medical-only claims, ensuring
compliance with regulations and documenting coverage analysis
Manages claims by identifying complexities or potential fraud,
escalating as necessary, and overseeing medical aspects for
cost-effective care
Maintains claim reserves, ensures data integrity, and communicates
effectively with internal and external customers regarding claim
status
Required Qualifications
High School Diploma or Equivalent is required; Bachelor's degree
preferred
AIC or other insurance designation is preferred but not
required
A valid driver's license is required
1+ years of experience in a medical or insurance setting, with a
preference for workers' compensation experience
Keywords: VirtualVocations, Santa Barbara , Medical Claims Representative, Healthcare , Santa Barbara, California
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