resolution by investigating and gathering information to determine the exposure on the claim. Negotiating settlement of claims... within designated authority. Communicating claim activity and processing with the claimant and the client. Reporting claims to the...
resolution activities which result in claim payment. Identifies trends and their root cause to improve the effectiveness... billing cycle including initial claim submission, payer rejection resolution, denial follow-up, secondary appeal and refund...
| Salary: $74800 - 112200 per year | Posted: 26 Apr 2024
administration manual to determine eligibility for coverage and claim requirements; identifies items associated with repair that can... be covered and communicates to stakeholders; files a claim in the appropriate system using proper documentation and requirements...
-based losses (business interruption and stock) Examines claim form and other records to determine insurance coverage.... Interviews, telephones, or corresponds with claimant and witnesses regarding claim. Consults police and hospital records...
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