Claims Resolution Specialist

9 hours ago


Rawalpindi Cantonment, Pakistan beBee Careers Full time
Job Description

We are seeking detail-oriented and driven professionals to manage the collections process for workers' compensation claims. This role involves managing outstanding WC receivables and lien accounts, following up with insurance carriers and defense attorneys regarding unpaid or underpaid claims, negotiating settlements on behalf of medical providers, and escalating unresolved issues.

Key Responsibilities:
  1. Manage and monitor outstanding WC receivables and lien accounts.
  2. Follow up with insurance carriers, TPAs, and defense attorneys regarding unpaid or underpaid claims.
  3. Negotiate settlements on behalf of medical providers and escalate unresolved issues.
  4. Review EOBs, objections, and denials to determine the next steps for resolution.
  5. Communicate with medical providers or facility staff to gather missing documentation, clarify case details, or provide updates on account status.


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