Works to underwrite cases where general and some complex underwriting principles will be applied and a solid command of the rating tools is required. Frequency of case review will be based on team lead's decision and in accordance to case level review policies Obtains Field Office staff acceptance of expense and reserve levels necessary to achieve planned expense recovery

Telecommute within Boston, MA/Fortune 5 Company/Excellent Compensation Package!

Investigate and manage escalated claim/call/appeals issues through root cause analysis and communicate outcome (in person, telephonically or via written communication) Assist with navigating the healthcare system by providing resources for scheduling appt. and assisting with issues related to prolong periods for scheduling appts Assist participants with completing health