What are the responsibilities and job description for the Clinical Underwriter Expert position at J & J Staffing Resources?
J & J Staffing Resources is seeking an experienced Clinical Underwriter Expert to join its team. In this full-time position, you will work closely with underwriters and senior management to review medical claims data and identify potential risks.
Your expertise will help us make informed decisions about underwriting and case management. Responsibilities include:
- Reviewing medical claims data and identifying potential risks
- Assessing claims and medical information
- Researching diagnoses and treatment plans
- Interpreting medical records and underwriting reports
Requirements:
- Registered Nurse
- Three or more years clinical RN experience, preferably in a hospital setting
- Two or more years of experience in the health insurance industry
- Strong analytical, organizational, and decision-making skills
- Excellent written and verbal communication skills