- Follow up of overpayment requests which may include discussions with Administrator, Claim Analyst, Broker both internal and external customers via conversation and/or letters, ability to provide detailed descriptions of circumstances around overpayment and provide specific details from claim files, conduct discussions with internal claims analysts
- Provide monthly current recovery reports (analysis, trending, actions, status), contacting external customers (Administrator/Broker/outside collection agency)
- Receive escheatment report, investigate customer data and provide data to banking for potential stop pay/re-issue of checks
What you will bring with you:
- Ability to work with a diverse range of people
- Requires expert level understanding of the Stop Loss claims process or Medical Claims with respect to how overpayments are determined, processes for write offs, succinct, detailed communication to external customers requesting monies.
- 5+ years understanding of first dollar stop loss claims or medical claims, Prior experience in medical or Stop Loss claim adjudication