Medical Claims Consultant
3 weeks ago
Ensure that all data and information that supports the creation of the damage claim invoice is accurate and complete. Prepares timely billing to customers including review billing information for consistency, accuracy and appropriate approvals.
Prepares and updates claims interactions in online; Processes claim related work orders and notifications, maintaining data integrity.
actions collections and/or write offs.
Responsible for pursuing all claims less than $5000.Provides assistance with pursuing recoveries from damages incurred on assets (mains, services, meters, etc.) for claims and adjusts claims against including foreign utility damage, and general damages (structural, environmental, etc.) for minor claims.
Collaborates with others to gather claim information; Provides assistance with the assessment and payment of claims involving .
Provides support to others in the investigation and gathering of information of all claims files.
Performs administrative duties such as scans documents in SAP, prepares and/or mails letters or emails, invoices, reminder notices, etc.
High School graduation plus a minimum of a post-secondary education certificate from a recognized institution in a legal field .
Minimum of two (2) years directly related , relevant work experience, typically gained through an Operation Support Representative 3 position, or an insurance and claims work environment.
Customer service and strong verbal/non-verbal communication skills, including the ability to: respond to difficult or demanding internal/external customer situations with tact and diplomacy either over the phone, written, or in person; Working knowledge of computer systems operations, environment and peripherals. Sound working knowledge of various applications software in use in the department (SAP & suite of MS Office products).
Knowledge of field operations processes and procedures.
Ability to interpret data from a variety of sources
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Medical Claims Consultant
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Medical Claims Consultant
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Medical Claims Consultant
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