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Claims Review Representative

Company: VirtualVocations
Location: Van Nuys
Posted on: October 29, 2024

Job Description:

A company is looking for a Claims Review Representative 3 to make claim decisions based on knowledge of claims procedures and regulations.



Key Responsibilities

Make appropriate claim decisions based on claims procedures and contract provisions
Perform advanced administrative and operational support duties with independent judgment
Partner with professional staff on pre-screening reviews and interpret provider information


Required Qualifications, Training, and Education

Must currently live in Puerto Rico
1 - 3 years of technical experience, preferably in claims or accounting inventory
Proficiency in Microsoft Office applications (Word, Excel, Outlook)
Intermediate mathematical skills
Ability to learn new systems quickly and manage tasks based on business needs

Keywords: VirtualVocations, Palmdale , Claims Review Representative, Other , Van Nuys, California

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