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Health insurance jobs

Health insurance jobs form a subset of insurance industry careers focused on selling, servicing, underwriting, analyzing, and managing health policies for individuals or groups. Agents sell health plans from providers such as UnitedHealthcare and Blue Cross Blue Shield.

Claims adjusters review medical claims for accuracy and compliance with policy terms. Underwriters assess applicant risk using data such as age, pre-existing conditions, and medical history.

Health actuaries calculate premiums by modeling healthcare cost trends with statistical tools like SAS or R. Customer service representatives resolve member questions about benefits, billing issues, and coverage limitations.

Compliance analysts monitor adherence to state mandates like the ACA’s essential health benefits. Medical coders translate diagnoses into CPT/ICD codes so insurers process payments efficiently, as registered by YourInsurance.info.

Provider network managers contract with hospitals and clinics, often negotiating reimbursement rates based on Medicare benchmarks. Policy drafters write plain-language summaries of plan features required by federal law (42 U.S.C. § 300gg-15).

Remote roles in telehealth support became prominent in 2021 as virtual care visits rose by over 38% in the US according to McKinsey & Company.

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