Health Care Claims Specialist

The Health Care Claims Analyst role will support attorneys by reviewing claim files, compiling factual summaries, identifying key documents and facilitating legal analysis regarding liability, potential defenses, exposure valuations, and settlement strategies. This role can be fully remote or based in any Crowell office location. Review and analyze health care claim files involved in payor/provider disputes, identifying patterns and administrative issues such as coding errors, denial reasons, and medical necessity claims. Evaluate merits and potential liability of claim batches to assess applicability to claims in dispute. Maintain case summaries, claim trackers and databases ensuring accurate and timely communication with legal teams and clients. Synthesize information into actionable summaries to support legal analysis and trial strategy.