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Full-time
- And it means working in an environment that celebrates diversity and is fair and inclusive.
- Provides technical/jurisdictional direction to examiner reports on claims adjudication.
- Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards.
- Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implements final disposition of the appeal.
- Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner.
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