Job Description
Position summary
This position worked as Lead Claims Speaclist. Coach, direct and develop associates so they can process the claims (adjudicate/finalize/pend/deny) within the service standards set by the department and the client.Coordinate work activities to achieve the volume expected to meet operational requirements. Recognize and recommend operational improvements. Responsible for the day-to-day application of organizational policies and procedures.
Key responsibilities • Build and maintain trusting, professional relationships across teams.
• Collaborate with internal departments to verify or obtain missing claim information.
• Continuously learn from experiences and apply feedback for ongoing improvement.
• Accurately process both core and complex claims with a focus on quality and efficiency.
• Serve as a subject matter expert, providing technical support and guidance to peers.
• Investigate and resolve claim discrepancies; escalate unresolved or quest...
This position worked as Lead Claims Speaclist. Coach, direct and develop associates so they can process the claims (adjudicate/finalize/pend/deny) within the service standards set by the department and the client.Coordinate work activities to achieve the volume expected to meet operational requirements. Recognize and recommend operational improvements. Responsible for the day-to-day application of organizational policies and procedures.
Key responsibilities • Build and maintain trusting, professional relationships across teams.
• Collaborate with internal departments to verify or obtain missing claim information.
• Continuously learn from experiences and apply feedback for ongoing improvement.
• Accurately process both core and complex claims with a focus on quality and efficiency.
• Serve as a subject matter expert, providing technical support and guidance to peers.
• Investigate and resolve claim discrepancies; escalate unresolved or quest...