Perform quality review and evaluation of all claim submissions.
Determine the eligibility of assigned claim by applying appropriate contractual provisions.
Document rationale of claim decisions based on review of the contractual provisions.
Berkley Accident and Health designs innovative risk management solutions. They have an entrepreneurial culture with a strong emphasis on analytics, helping employers better manage their risk, and is backed by a Fortune 500 company.
Investigates new claims and gathers information regarding injuries or loss.
Manages an inventory of property/casualty and disability claims, and negotiates settlements within prescribed limits.
Establishes accurate loss cost estimates using available resources, special service instructions, and market protocols.
Liberty Mutual strives to create a workplace where everyone feels valued and supported. They offer comprehensive benefits, workplace flexibility, and professional development opportunities, fostering an inclusive culture where employees can thrive and make a meaningful impact.
Resolve aged claims and appeals via payer portals & outbound phone calls.
Prioritize assigned work queue to ensure timely work is balanced with working the most payable claims.
Work professionally with Revenue Cycle teammates to be responsive to requests that require your assistance.
CareDx, Inc. is focused on providing healthcare solutions for transplant patients and caregivers. They are the leading provider of genomics-based information for transplant patients.