The Claims Representative is responsible for the administration and disposition of medical only (MO) workers... compensation (WC) claims. Caseload will be exclusively WC claims and responsibility is limited to non-litigated medical...
The Service Center Representative processes medical claims and communicates with providers about the claims process... benefits program. The Service Center Representative expedites the claims process and provides detailed claim notes on all calls...
and resolving claims on behalf of performers under SAG-AFTRA contracts. Interpret contractual provisions for performers, talent..., research, conciliate and resolve claims initiated by performers or their representatives. Field inquiries and disseminate...
account issues. Collaborate with the Tier 1 escalation representative to ensure team coverage and issue resolution. Audit...-collection and collection agency files. Perform selected medical billing functions when needed, including billing, claims...