Opportunity Description
Job Summary
The Coord must be competent in all functions of a Claim Coord, Assoc and Coord, Claims in addition to more complex claim and issue resolution. Examples of complex claims may include: secondary claim coordination; customer inquiries; claims adjustments. This position is production and quality based and the Coord will be expected to achieve monthly measures.
Essential Functions
+ Process claims through on-line adjudication. May include HMO, ASO, PPO, LFO POS, or GP. Processing will include complex claims such as secondary claim coordination, customer inquiries, claim adjustments and complex issue resolution.
+ Utilize Lens Inquiry Tracking system to initiate and resolve claim related issues.
+ Detailed knowledge of operational/technical functions and software.
+ Ability to perform tasks in a high stress environment.
+ Ability to complete multiple tasks in a timely manner.
+ Ability to meet minimum p...
The Coord must be competent in all functions of a Claim Coord, Assoc and Coord, Claims in addition to more complex claim and issue resolution. Examples of complex claims may include: secondary claim coordination; customer inquiries; claims adjustments. This position is production and quality based and the Coord will be expected to achieve monthly measures.
Essential Functions
+ Process claims through on-line adjudication. May include HMO, ASO, PPO, LFO POS, or GP. Processing will include complex claims such as secondary claim coordination, customer inquiries, claim adjustments and complex issue resolution.
+ Utilize Lens Inquiry Tracking system to initiate and resolve claim related issues.
+ Detailed knowledge of operational/technical functions and software.
+ Ability to perform tasks in a high stress environment.
+ Ability to complete multiple tasks in a timely manner.
+ Ability to meet minimum p...
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