(Health Insurance Specialist) Descriptionnbsp Essential Duties and Responsibilities include the following. Other duties may be assigned. Perform administrative work in processing claims accurately related to Workers Compensation and other insurance matters. Work involves internal and external contacts nonroutine tasks and access to confidential information. Track and review claims to ensure they are reported in a timely manner and are in compliance with corporate policies and procedures. Administer and consistently apply and continuously improve work procedures and policies for the insurance department. Work closely with the management on special projects. Ensure compliance in all Insurance activities and practices. Assist with the daytoday efficient operation of Insurance Department. Take First Report of Injury of Workers’ Compensation losses by phone email and or fax. Use judgment to notify the appropriate level of management of the claim status of an employee. Consistent and timely management of medical only or lost wages claims. Consistent and timely complete utilization of Workers’ Compensation database and automated claim reporting and status updates. Extensive customer relations providing direction and assistance to management colleagues claim adjusters medical providers safety personnel etc. Making prompt referrals to other resources as necessary. Maintain files on correspondence and claims. Review medical bills and work status reports and send to appropriate safety personnel andor management. Coordinate with Oceaneering management and Workers’ Compensation carrier for discrepancies. Maintain correct and accurate location coding within Workers’ Compensation database and request updates as needed. Generate and distribute reports to various departments as needed. Occasionally identify qualified physicians to provide treatment to injured team members. Determine the jurisdiction to accurately report injuries. Respond timely to loss reserve increase and coordinate with Insurance Coordinator. Evaluate work procedures each quarter and continue to develop the claims reporting claim managing process and correspondence. Education andExperience Associate’s degree or equivalent from a twoyear accredited College and minimum of 1 2 years experience in processing insurance claims or equivalent combination of education and experience. Knowledge of medical insurance terminology preferred. Company Informationnbsp Arabeya Insurance Brokerage Job Number of Vacanciesnbsp 1 Applying Emailnbsp enas.sallamarabeyaegypt Job Gendernbsp Unspecified Job Categorynbsp AccountantBankingFinance nbsp›nbsp Others Job Addressnbsp Cairo Egypt jobsmisr | وظائف مصر دوت كوم
Posted on: Thu, 01 Jan 2015 11:18:28 +0000
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