Job Description Job Summary The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims, coordinating, investigates and confirms the appropriate resolution of claims issues. This role will require actively researching issues to adjudicate claims Requires knowledge of operational areas and systems. Knowledge/Skills/Abilities Facilitates the resolution of claims issues, including incorrectly paid claims, by working with operational areas and provide
Description Summary: Supports the Credit bureau management group by processing escalated and highly complex inquiries, disputes and/or requests accurately and in a timely manner. Provides in depth support and guidance to customers and colleagues, leveraging detailed knowledge of procedures. Organizes work flow for designated work group. Reviews the work of others and provides necessary feedback and guidance on problem resolution. Contributes to the setting of team goals in collaboration with
