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Insurance Appeals Jobs in Indiana (NOW HIRING)

Beacon Health System

Claims Reimbursement Rep (BHS)

Granger, IN · On-site

$16.25 - $21.50/hr

Investigate denial and appeal issues and past-due appealed insurance claims. Acts as a liaison with Managers, and insurance representatives to validate and correct information as well as consult with ...

Beacon Health System

Claims Reimbursement Rep (BHS)

Granger, IN · On-site

$16.25 - $21.50/hr

Investigate denial and appeal issues and past-due appealed insurance claims. Acts as a liaison with Managers, and insurance representatives to validate and correct information as well as consult with ...

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Insurance Appeals information

What are insurance appeals?

Insurance appeals are formal requests made to an insurance company to reconsider and potentially overturn a denied claim or coverage decision. When an insurance provider refuses to pay for a service or treatment, policyholders or healthcare providers can submit an appeal with supporting documentation to argue why the claim should be approved. The appeals process typically involves several steps and may require detailed medical records, letters from healthcare professionals, and a clear explanation of why the original decision should be reversed.

What are the key skills and qualifications needed to thrive in insurance appeals?

To thrive in Insurance Appeals, you need a solid understanding of insurance policies, claims processes, medical terminology, and relevant regulations, often supported by experience in healthcare administration or a related field. Familiarity with claims management software, electronic health records (EHRs), and knowledge of HIPAA compliance are typically required. Strong analytical skills, attention to detail, and effective written and verbal communication set outstanding professionals apart. These skills are crucial for efficiently navigating complex appeals, ensuring compliance, and achieving positive outcomes for clients or organizations.

What are some common challenges faced in an insurance appeals role, and how can they be managed?

Professionals in Insurance Appeals often encounter challenges such as navigating complex policy guidelines, handling tight deadlines, and managing extensive documentation requirements. Staying organized and up-to-date on insurance regulations is essential to ensure accurate and timely submissions. Collaborating closely with medical providers, patients, and insurance representatives can help clarify information and strengthen appeal cases. Effective time management and clear communication are key to overcoming these challenges and achieving successful outcomes.

What are popular job titles related to Insurance Appeals jobs in Indiana?

For Insurance Appeals jobs in Indiana, the most frequently searched job titles are:

What job categories do people searching Insurance Appeals jobs in Indiana look for?

The top searched job categories for Insurance Appeals jobs in Indiana are:

Insurance Appeals jobs near you
Infographic showing various Insurance Appeals job openings in Indiana as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, and 5% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution.

Claims Appeals Specialist

Unified Group Services Inc

Anderson, IN • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago

Job description

Do you enjoy solving complex claim challenges, uncovering answers others might overlook, and playing a key role in delivering fair, accurate outcomes? Unified Group Services is seeking a full-time Claims Appeals Specialist to join our team in Anderson, IN. This is an exciting opportunity for a detail-oriented professional who thrives on research, analysis, collaboration, and meaningful work that directly impacts members and clients. If you're ready to put your problem-solving skills to work in a rewarding career with a respected organization, apply today!
Pay: We offer our Claims Appeals Specialist a competitive wage, based on experience.
Benefits:
  • Health, dental, and vision insurance
  • 401(k) with company match
  • Education assistance
  • Employee assistance program
  • PTO
  • Growth opportunities
  • HSA/FSA
  • Life insurance
  • Short- and long-term disability coverage
  • Wellness programs
  • Sponsored health clinic
  • Company parties

WANT TO KNOW MORE ABOUT OUR BUSINESS?
At Unified Group Services, we take care of the customer, and then some! Established in 1996, we're a proud full-service third-party administrator (TPA) for self-funded group health insurance plans. Our mission is centered on you-whether you're a customer or a team member-because we believe that great service starts with a great culture. We empower our customers with innovative programs, cutting-edge technology, and trusted partnerships that help control healthcare costs while ensuring access to top-tier benefits. Every service we deliver is backed by a professional, experienced team that provides personal attention with speed and care. We don't just talk about our values-we live them, training every employee to uphold the principles that have guided us from the beginning. If you're looking to join a company where your work truly makes a difference, Unified Group Services is the place to be.
DO YOU MEET THESE QUALIFICATIONS?
  • High school diploma or equivalent
  • Proficiency in Microsoft Word, Excel, and Outlook
  • Strong mathematical and analytical skills
  • Exceptional attention to detail
  • Ability to meet critical deadlines

Excellent writing skills with strong grammar and punctuation, effective problem-solving and decision-making abilities, a self-motivated mindset, adaptability, reliable attendance, and a commitment to supporting team goals are preferred.
WHAT WILL YOU DO AS A CLAIMS APPEALS SPECIALIST?
As our full-time Claims Appeals Specialist, you'll spend your day investigating and reviewing internal and external appeals related to benefit determinations, Usual & Customary reductions, discount disputes, and eligibility concerns. You'll collaborate closely with internal review vendors and Independent Review Organizations (IROs), helping ensure every appeal is handled accurately and efficiently. You'll also draft professional response letters to providers, members, representatives, and attorneys, while maintaining regular communication with claims processors, reinsurers, vendors, providers, members, clients, and legal representatives.
READY TO APPLY AND ADVANCE YOUR CAREER?
Join Unified Group Services and become an important part of a team that makes a meaningful impact every day. Apply now! Our initial application process is fast, simple, and mobile-friendly.

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