Recovery Specialist I
Core
Handles routine overpayments and reimbursements from liable parties for health claims.
Role type
Junior claims operations specialist
Builds
Refund requests, notice letters, and adjusted claims
Domain
Health insurance claims administration
Required skills
Claims processing, customer service, refund calculation, letter issuance, claims adjustment
Preferred skills
FEP claims/adjustments experience, claims systems knowledge, PC skills
Responsibilities
Determine and calculate overpayment amounts, issue refund request and notice letters, process voluntary refunds, adjust claims based on received refunds
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