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Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..
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Description The Pharmacy Claim Professional 2 in the Pharmacy Claim Audit & Review (PCAR) team conducts reviews on pharmacy claims to assess for recoveries. The Pharmacy Claim Professional 2 work assignments ..
SUMMARY: Must have Washington State Certification. Position is responsible for moderately complex assignments with ability to work independently. The Adjuster of Claims is responsible for the investigation evaluation negotiation and settlement ..