Recovery Specialist I
Location: Philadelphia, Pennsylvania
Description: Keystone Mercy Health Plan is at the momment seeking for Recovery Specialist I right now, this job will be situated in Pennsylvania. For complete informations about this job opportunity please read the description below. The primary purpose of the job is to :
Under the direct supervision of the Supervisor, Manager and Director of the Recovery Unit, responsible for handling thi! rd party liability for all Lines of Business of COB, Subrogation, TPL and Cost Containment thus eliminating or minimizing payout when another person is liable.
Thoroughly documents findings *within the required timeframe and takes steps to resolve issues, clearly stating the facts so that any other plan representatives can communicate directly with internal/external clients, attorneys, providers, members, insurance companies and state agencies about the same matter
Responsible for handling the processing of all checks received for COB, Subrogation, TPL and Cost Containment including complex, problem-solving situations of checks within the required timeframe
Assists with the handling of subpoenas by immediately addressing and responding, confirming proper documentation is received and ensuring confidential claims are not released without appropriate documentation
Prepares and assists Supervisor, Manager and/or Director with the preparation! of reports using Excel, Access, Crystal Reports, Bi-query, Se! agate and Data Warehouse
Identifies and requests medical reviews as needed
Requirements:
High School Diploma or GED, Some College Preferred
Paralegal Certificate Preferred
3-5 year of experience in Claim, TPL, Personal Injury Litigation, or Recovery
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If you were eligible to this job, please send us your resume, with salary requirements and a resume to Keystone Mercy Health Plan.
Interested on this job, just click on the Apply button, you will be redirected to the official website
This job starts available on: Thu, 25 Apr 2013 20:37:01 GMT
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