Sets reserves and authorizes payment within scope of authority, effectively settling claims in most cost effective manner and ensuring timely issuance of disbursements.
November 25, 2022
Demonstrate commitment to Company's Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work.
January 09, 2023
Utilizes evaluation documentation tools in accordance with department guidelines.
January 28, 2023
Receive claim assignments and verify/investigate coverage and document all appropriate information before Manager is involved with review of claims to ensure they are commensurate with ability.
March 03, 2023
Document all file activity and payment/settlement information in file notes clearly outlining basis for settlement.
March 12, 2023
Developing knowledge of regulations, offsets and deductions, disability duration, medical management practices and Social Security and Medicare application procedure as applicable to line of business.
March 21, 2023
Maintains claim files and documents claim file activities in accordance with established procedures.
March 22, 2023
Attends and/or present at roundtables/ authority discussions for collaboration of technical expertise resulting in improved payout on indemnity and expense.
April 14, 2023
Investigate claims and obtain relevant facts to determine coverage, loss and liability.
April 21, 2023
Communicate effectively with internal and external customers on claims and account issues.
May 17, 2023