Description : The Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims... to develop knowledge and understanding of claims practice, relevant statutes and medical terminology. Ability to identify...
Description : The Senior Claims Specialist manages within company standards and best practices complex... and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work...
) apply clinical expertise to review, approve, and/or deny dental treatment authorization requests and claims in accordance with CA...It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges...
) apply clinical expertise to review, approve, and/or deny dental treatment authorization requests and claims in accordance with CA...It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges...
. As a Correspondence Specialist is responsible for but is not limited to, researching, and analyzing incoming Member Complaints, Member... paths to follow, creating supporting documentation, processing claims/TARs on final determinations, and extensive...
. As a Correspondence Specialist is responsible for but is not limited to, researching, and analyzing incoming Member Complaints, Member... paths to follow, creating supporting documentation, processing claims/TARs on final determinations, and extensive...