Added
25 days ago
Type
Full time
Salary
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Related skills

compliance data entry medical terminology pip claims

πŸ“‹ Description

  • Receive and review assigned PIP and Medical Payments claims, verify coverage, and determine the
  • Set up and maintain claim files, establish initial reserves, and ensure all relevant information is
  • Conduct claim investigations, analyze investigative findings, and determine appropriate claim
  • Apply effective medical cost-containment strategies while evaluating claim expenses and incurred
  • Negotiate and settle eligible non-litigated claims or issue appropriate claim denials in accordance
  • Process payments, expenses, loss information, check requisitions, correspondence, and related claim

🎯 Requirements

  • Minimum of 1 year of claims experience.
  • Minimum of 1 year of data entry experience.
  • Working knowledge of PIP laws, regulations, and medical cost-containment requirements across
  • Working knowledge of medical terminology.
  • Ability to analyze claim information, evaluate documentation, and make sound decisions within
  • Strong organizational skills and attention to detail for maintaining accurate claim files and

🎁 Benefits

  • Salary range of $48,000–$73,000 per year, with actual compensation influenced by geographic
  • Competitive base salary.
  • Eligibility for an incentive plan.
  • Comprehensive healthcare plans.
  • Retirement savings plan with company match.
  • Discounted Employee Stock Purchase Program.
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