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Description The Claims Processing Representative 3 reviews and adjudicates complex or ... and adjudicates complex or specialty claims, submitted either via paper or ... via paper or electronically. The Claims..
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Description The Consumer Service Operations Lead is responsible for the daily activities across multiple service functions area. The Consumer Service Operations Lead works on problems of diverse scope and complexity ranging ..
Description The Claims Processing Representative 2 reviews and adjudicates complex ... and adjudicates complex or specialty claims, submitted either via paper or ... via paper or electronically. The Claims Processing..
... will identify opportunities for appropriate claims adjudication based on benefit payment, ... first time accurate adjudication of claims and payments for members and ... 5 or more years of..
... customer service, enrollment and eligibility, claims processing, and call center operations. Investigates ... center operations. Investigates and settles claims and customer service issues. Advises ... years service operations experience,..