Job Summary :A claims examiner needs to analyse multiple documents / contracts and decide to pay / deny the claim submitted by member or providers with respect to client specifications. The claims examiner should also route the claim to different department or provider / member for any missing information that required for claims adjudication. The claims needs to be completed adhering to required TAT and quality SLA.
Key Responsibility: 1. Production, Quality 2. Shift and Schedule adherence 3. Process Knowledge Key Skills :
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