claims from contracting and non-contracting providers and from subscribers and enrollees for payment in an accurate... for claims auditing and payment functions for a Knox-Keene licensed health maintenance organization (HMO). Essential Duties...
-Party Administrator (TPA) clients in Commercial Claims Adjuster or Examiner positions. Responsibilities include: Handle..., or Umbrella claims. Knowledge of any/all these lines is acceptable. Set-up claim in claims management system. Properly document...