Case Coordinator

This is a fully remote position, open to applicants in California.

📋 Description

• Conducts quality assurance evaluations of reports, correspondence, addendums, or supplemental reviews.

• Ensures that all recommendations and/or determinations are supported by clear, concise, evidence-based rationales.

• Confirms adherence to all client instructions and specifications, addressing all inquiries.

• Verifies that the peer reviewer has only attested to factual information, ensuring there is no evidence of a conflict of interest.

• Aids in resolving customer complaints and quality assurance concerns as necessary.

⛳️ Requirements

• High school diploma or its equivalent is required.

• At least two years of experience in a clinical or related field.

• Familiarity with the insurance industry, particularly in claims management.

• Strong understanding of medical terminology, anatomy and physiology, medications, and laboratory values is essential.

• Must demonstrate typing proficiency, with a minimum speed of 40 words per minute.

• Proficiency in multiple software applications, including Microsoft Word, Outlook, Excel, and Internet usage is required.

• Exceptional skills in English usage, grammar, punctuation, and writing style are necessary.

🏝️ Benefits

• Health insurance

• 401k

• Paid time off