• Perform analytical review of documentation received
• Maintain detailed and organized claim records
• Verify and update information needed on claims
• Investigate and resolve discrepancies or issues with claims.
• Researching, detailing, and substantiating each part of a claim
• Obtaining all necessary information on claims for the purpose of completing processing
• Developing and maintaining a strong understanding of insurance policies and legal issues
• Proactively seeking to clarify and resolve claims using the best method of communication and initiative
• Uncovering fraudulent claim scheme
