Claims Letter Correspondence Coordinator

Job Summary

Oversee the creation, accuracy, and distribution of all departmental correspondence related to claims operations. Manage PDR, refund, denial, reimbursement, Medicare development, cease-and-desist, and other essential claims-related letters.

Responsibilities

• Ensure all communications meet industry standards and reflect current regulatory requirements
• Support compliance objectives across the organization
• Collaborate with the Lead Claims Compliance Coordinator and Claims leadership team
• Update letter templates
• Support training efforts
• Contribute to policy improvements
• Promote accuracy, timeliness, and regulatory alignment in claims processes
• Provide high-quality service to members, providers, and partners

Requirements

• Bachelor's degree in Business Administration, Communications, or a related field
• Minimum 2 years of experience in claims operations or related field
• Strong attention to detail and excellent written communication skills
• Familiarity with regulatory requirements and compliance standards
• Proficiency in Microsoft Office Suite

Qualifications

• Ability to work independently and as part of a team
• Strong organizational and time management skills
• Experience with regulatory updates and changes
• Knowledge of healthcare regulations and policies

Skills

• Excellent written communication skills
• Attention to detail
• Regulatory compliance knowledge
• Microsoft Office Suite proficiency

Benefits

• Competitive salary
• Flexible schedule options
• Professional development opportunities
• Health and wellness programs

Pay

Commensurate with experience

Schedule

Varies based on project needs

Benefits

• Health and wellness programs
• Professional development opportunities