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Appeals Case Manager

Company: VirtualVocations
Location: Vista
Posted on: May 13, 2025

Job Description:

A company is looking for an Appeals Case Manager II.
Key Responsibilities

Adjudicate assigned appeals for Group Life and Disability claims, ensuring compliance with ERISA
Investigate claim issues and make accurate, non-biased appeal determinations
Provide superior customer service through proactive outreach and maintain knowledge of ERISA guidelines

Required Qualifications

Minimum of 5 years of Group Disability and/or Life claims experience
At least 3 years of experience handling appeals or complex claims (preferred)
Bachelor's Degree (preferred) or equivalent professional experience
Demonstrated ability to manage multiple tasks in accordance with regulatory requirements
Flexibility to adapt to changing business needs

Keywords: VirtualVocations, Beverly Hills , Appeals Case Manager, Executive , Vista, California

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