Claims Examiner - Cambridge Street, Boston, Massachusetts, United States

Only for registered members Cambridge Street, Boston, Massachusetts, United States

1 week ago

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Job Service Representative I supports claims processing customer service functions including accepting responding incoming telephone calls connecting with applicants guiding them through claim requirements next steps supporting live chat functionality responding to claimant inquiries acknowledging establishment of new claims confirming receipt of materials reviewing supporting documents for completeness accuracy documenting all claimant information in appropriate systems following established protocols maintaining monitoring pending files ensuring timely progression following up with claimants internal staff when additional information needed completing assigned tasks related to case resolution practicing policies procedures related PHI HIPAA ensuring interactions documentation meet confidentiality privacy program compliance standards identifying discrepancies issues escalating remanding appropriate internal department prepare accurate case notations within claims management system containing accurate specific sufficient facts address standards law allow application law regulation policy advising claimants employers appeal rights procedures performing related duties assigned
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