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Overview Responsibilities include processing claims in accordance with plan benefits, maintaining quality standards, handling correspondence timely, assisting with claim benefit investigations (e.g., pre-existing condition, medical necessity reviews), supporting examiners to ensure accurate and timely claims processing, and performing other tasks as determined by the claims supervisor and area management.
Responsibilities Process claims in accordance with plan benefits Maintain quality average of 98% Handle correspondence from Plan Correspondent and/or employees in a timely and efficient manner Work with staff on filings for claim benefits investigation (pre-existing condition, medical necessity reviews, etc.) Provide assistance to examiners to ensure accurate, timely claims processing Perform other various tasks deemed necessary and equitable by the claims supervisor Special projects as determined by area management Qualifications High School diploma or equivalent One to two years’ of HPI claims processing experience Proficient in Microsoft Office, including Word, Excel, Outlook and PowerPoint #J-18808-Ljbffr