What are the responsibilities and job description for the Medical Claims Analyst Lead position at J & J Staffing Resources?
We are seeking a highly skilled Medical Claims Analyst Lead to join our team at J & J Staffing Resources. As a key member of our underwriting team, you will play a critical role in reviewing medical claims data and identifying potential risks.
In this full-time position, you will be responsible for assessing claims and medical information, researching diagnoses and treatment plans, and interpreting medical records and underwriting reports. Your expertise will help us make informed decisions about underwriting and case management.
Key responsibilities include:
- Reviewing medical claims data and identifying potential risks
- Researching diagnoses and treatment plans
- Interpreting medical records and underwriting reports
- Providing expert advice to underwriters and senior management
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
