Reimbursement Specialist (Compliance Specialist 2)
Core
Auditing applications from workers' compensation insurers and self-insured employers to authorize reimbursements from state programs.
Role type
Administrative compliance specialist (workers' compensation)
Builds
State workers' compensation reimbursement programs
Domain
Public sector / Workers' compensation / Insurance regulation
Deliverable
dashboards & analysis
Required skills
Administrative research, Math and basic bookkeeping, Data entry, Report writing, Regulatory research, Analytical skills
Responsibilities
Interpreting statutes and rules to audit insurer applications, Determining validity and accuracy of payment calculations, Coordinating audit preparation and work distribution
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