Claims Review Representative

VirtualVocations
Decatur, Georgia, United States
Full-time

A company is looking for a Claims Review Representative 3 to make claim decisions based on knowledge of claims procedures and regulations.

Key ResponsibilitiesMake appropriate claim decisions based on claims procedures and contract provisionsPerform advanced administrative and operational support duties with independent judgmentPartner with professional staff on pre-screening reviews and interpret provider informationRequired Qualifications, Training, and EducationMust currently live in Puerto Rico1 - 3 years of technical experience, preferably in claims or accounting inventoryProficiency in Microsoft Office applications (Word, Excel, Outlook)Intermediate mathematical skillsAbility to learn new systems quickly and manage tasks based on business needs

23 hours ago
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