Responsible for performing structured reviews of claim files to assure that they meet defined file quality standards as defined by internal and external requirements, in an objective and consistent manner for the Claims Department. Claim file reviews will address opportunities to improve and provide feedback in a positive learning environment, with the goal being continuous improvement. This position is remote.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.
MINIMUM SKILLS AND COMPETENCIES:
The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.