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Appeals Processing Senior Representative

  • Location

    Bedford, United States

  • Sector:

    Other Area(s)

  • Job type:

    Contract

  • Contact:

    Leric Arcigal

  • Job ref:

    20178

  • Published:

    about 1 year ago

  • Expiry date:

    2020-06-20

Office-based role.

UpdatesDispute tracking system.

Consults with Appeals Analyst Specialist regarding technical claims issues.

Determines required expert resources at each juncture and solicits input.

Based ondispute investigation, determines whether claim is reopened or original denial was appropriate.

Proactively communicated with claimants, employers, providers and the original case manager to resolve investigation issues and communicate decisions/rationale for denial/approval.