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CLAIMS TECHNICIAN - HEALTHPRO - MEDICAL MALPRACTICE
From:
Company: CNA (see all of this employer's jobs)
5151 San Felipe Street Suite 1800, Sage Plaza
, 77056
United States
Contact: Recruiter
Apply by eMail:15350842.185@jobfrenzy1.com
Apply by eMail:15350842.185@jobfrenzy1.com
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Job Reference ID:
DF15350842
Category:
Accounting/Finance/Banking
Duration:
Full Time
City, ST:
Chicago, Illinois
Country:
United States |
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Description:
Under general supervision, performs standard duties utilizing routine claims handling procedures on assignments of low complexity or of a repetitive nature.
Essential Duties and Responsibilities:
1. Performs routine processing of the least complex claims, following established procedures.
2. Receives new claim notices, confirms coverage, verifies applicability of coverage to the claim, and establishes a claim file.
3. Within designated authority, reviews routine claims utilizing preset procedures to determine claim resolution.
4. On a limited basis, contacts insureds, claimants, and repair or replacement suppliers for routine matters. Following preset procedures verifies accuracy and validity of bills and estimates.
5. Obtains backup documentation as necessary to substantiate claims.
6. Utilizing preset procedures, identifies depreciation or subrogation potential in first-party claims, and utilizes medical and pharmaceutical fee schedules in workers' compensation claims.
7. Maintains files and prepares standard statistical reports as requested.
8. May provide assistance and/or training to other Claims Technicians.
9. May assist in special project work.
10. May update the claims systems.
Requirements:
Skills, Knowledge and Abilities Required:
1. Knowledge of claims handling procedures and documentation.
2. Knowledge of applicable insurance products.
3. Good interpersonal and communication skills.
4. Demonstrated ability to work at high levels of productivity and quality.
5. Ability to work independently on multiple tasks.
6. Detail-oriented.
7. Knowledge of Microsoft Office Suite as well as other business-related software.
Education and Experience Required:
1. High school diploma or GED required. College degree preferred.
2. Minimum four years of related work experience.
Education: High School
Experience: At Least 3 Years
Travel: None
Apply by eMail:15350842.185@jobfrenzy1.com
Apply by eMail:15350842.185@jobfrenzy1.com
Job Created:
Sat Oct 31 2009 04:27:23 AM
Last Modified: Sat Oct 31 2009 04:27:23 AM
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