DESCRIPTION

This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be responsible for analyzing claims and making decisions about their validity. The position will be a communicator to internal and external business partners and a problem solver/agent for change to provide continuous improvements.

RESPONSIBILITIES

• Process escalated claims, assesses the reason for the escalation, and provides resolution in priority order as directed by the Supervisor.

• Searches for and links invoices, contracts, and Proof of Performance to claims as needed.

• Uses systems, reports, and Standard Operating Procedures to work assigned claim steps and gather supporting claims information.

• Processes invalid claims in accordance with set policies and guidelines.

• Correct...