Job Duties:
- Analyze trigger reports and high dollar claim referrals.
- Review medical necessity and appropriateness of claims.
- Gather and analyze clinical information from providers.
Minimum Qualifications:
- Bachelor of Science in Nursing (BSN) or higher, Active RN license or APRN license
- Five plus years of significant clinical experience.
- Knowledge and hands-on experience with PC; Word, Excel required.
Benefits:
- Health/Dental/Vision
- Pension/401K/HSA
- Life Insurance/Paid Time Off
Ullico
Ullico is the only labor-owned insurance and investment company and has been a partner of the labor movement for over 95 years. The company provides insurance products for members, leaders, and employers, as well as investments.