Medical Claims Operations Supervisor
Perot Systems-Dallas, TX
Job Role Summary Provides operational support for activities associated with all phases of the claims process. Ensures accurate and timely payment of claims to meet or exceed customer service level agreements. Receive, sort, batch, scan and verify all incoming claims. Properly adjudicate claims based on knowledge of covered benefits, insurance and provider contracts. Identify and resolve issues around pended claims. Manage claims adjudication and case negotiation process as it relates to motor vehicle accidents (MVA) and worker's compensation (WC) cases. Coordinate benefits (COB) with other...