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6

claims processor/auditor

  • Processed claims and prior approvals accurately and in a timely manner.
  • Responsible for processing the measurement of ads.
  • Performance of mathematical calculations, comparing advertising content to client’s program guidelines to ensure compliance.
  • Preparation of input sheets and/or entering audit results into client’s processing database or web application.
  • Assist with customer service via telephone, email, and/or fax, special projects and the preparation of reports.
7

claims processor

  • Coordinate with adjusters and reviewers to move claims forward
  • Upload completed files to server and close claims upon completion
  • Run end of day reports for claims manager
  • Analyze information gathered by investigation, and report findings and recommendations. on all claims related business. 
8

claims processor

  • Analyze and processed claims for medical expenses within the fixed turn around time.
  • Review claim edit trends and provider billing issues
  • Used several applications and company based software to price medical claims based on the agreement between the company and the medical provider. 
  • Explain claims decisions, estimates, and all other records related to claims that involve insurance coverage.
9

claims processor

  • Prepares special loss reports as needed.

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