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Sr. Mgr Claim Quality Support
JOB SUMMARY:The Sr. Manager, Claims Quality Support oversees the timely resolution of all post claims adjudication tasks including, but not limited to, priority reconsideration requests, payment disputes, and claim appeals. This position leads all in-house Coordination of Benefits and Recoupment efforts and works in tangent with Configuration Support on recoupment opportunities identified. This position works to address iterations of training needs as part of continuous quality improvement support for claims staff. This position ensures the success of post payment tasks by adopting a culture of excellence. This leader identifies service level trends and conveys findings to applicable unit
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