Claims Resolution Analyst Sr - PS3604

Claims Resolution Analyst Sr - PS3604
Location: United States
Field: Claims
Requisition #: PS3604
Post Date: 2 days ago
Responsible for researching, analyzing, documenting and coordinating the resolution of escalated and/or complex claims issues that span across multiple operational areas and requires expert knowledge of all systems, tools and processes. Primary duties may include, but are not limited to: Provide project team leadership. Coordinate the identification and resolution of root causes involving configuration, claims and/or contracting activities. Requires a BA/BS; 5 years of claims research and/or issue resolution or analysis of reimbursement methodologies within the health care industry; or any combination of education and experience, which would provide an equivalent background.

Don't Be Fooled

The fraudster will send a check to the victim who has accepted a job. The check can be for multiple reasons such as signing bonus, supplies, etc. The victim will be instructed to deposit the check and use the money for any of these reasons and then instructed to send the remaining funds to the fraudster. The check will bounce and the victim is left responsible.