Paralegal - Grievance and Appeals Claims Analyst - Remote

Overview

The Grievance and Appeals Claims Analyst is responsible for the end-to-end processing of appeals, grievances, and medical claim disputes, requiring high-level analytical skills and strong negotiation abilities.

In Short

• Remote position with a preference for candidates in Michigan.
• Contract employment with long-term duration.
• Responsible for processing appeals and grievances.
• Requires strong analytical and logical mindset.
• Proven experience in claims analysis is essential.
• Superior communication skills for documentation and conferences.
• Ability to manage tight deadlines in a remote environment.
• Technical proficiency in MS Office and complex databases.
• Confidentiality is paramount in handling sensitive information.
• Preferred legal background or paralegal experience.

Requirements

• Bachelor’s Degree Required in relevant fields.
• Strong analytical and negotiation skills.
• Experience with medical claims and appeals.
• Excellent verbal and written communication skills.
• Ability to interpret contracts and apply policies.
• Experience in a high-end customer service setting.
• Proficiency in MS Office Suite and database navigation.
• High regard for confidentiality and data protection.

Benefits

• Engaging and challenging work environment.
• Market-relevant benefits.
• Opportunities for professional growth.
• Supportive company culture focused on employee satisfaction.