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Re-Pricer - Clerk

Company: Amalgamated Life Insurance
Location: White Plains
Posted on: November 23, 2019

Job Description:

  • Reprice claims for various PPOs using Web Application.
  • Analyze any system generated error(s) and take necessary action to obtain reprice information related to claims.
  • Identify, batch and mail/fax various types of paper claims to PPO vendors.
  • Return claims to production staff after obtaining reprice information using internal Web Base Application.
  • Fax claim form to PPO as requested for priority handling.
  • Monitor PPO turnaround time.
  • Follow up on outstanding claims by making phone calls to PPOs.
  • Update PPO database with claim reprising information.
  • Access PPO website for reprising information on outstanding claims repriced by PPO.
  • Batch, scan and validate reprice sheet.
  • Handle repricing related task from other departments.
  • Handle special repricing projects as assigned by supervisor.
  • Responsible for promptly advising supervisor of any problems regarding repricing of claims.
  • High School Diploma or Equivalence.
  • Excellent data entry skills.
  • Knowledge of claim form/type.
  • Good verbal and written communication skills.
  • Knowledge of Web base application.
  • Ability to work independently.
  • Basic knowledge of claim processing system. ID: 2019-2413 External Company Name: Amalgamated Life External Company URL: http://www.amalgamatedlife.com Street: 333 Westchester Avenue

Keywords: Amalgamated Life Insurance, White Plains , Re-Pricer - Clerk, Other , White Plains, New York

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