
Claim Processing Executive
5 days ago
the Claims Processing Executive
(CPE) performs all activities involved in the preparation, insurance verification and retrieval of
medical records for US Workers’ Compensation claims. The CPE acts as the liaison between key
Client contacts and insurance companies primarily through phone.
**Responsibilities**:
- Analyze and evaluate worker’s compensation claim payments using Enable Comp’s
proprietary software, systems and tools. Use payment documentation provided by
payers to determine if the medical provider has been reimbursed in compliance with the
applicable state worker’s compensation fee schedule and/or PPO contract.
- Research, request and acquire all pertinent medical records, implant manufacturer’s
invoices and any other supporting documentation necessary and then submit with
hospital claims to insurance companies to ensure prompt correct claims reimbursement.
- Conduct timely and thorough telephone follow-up with payers to ensure claims with
supporting documentation have been received and facilitate prompt reimbursement.
- Prepare correct Workers’ Comp initial bill packet or appeal letter using Enable Comp
systems tools and submit with all necessary supporting documentation to insurance
companies.
- Other duties as required.
**Education**:
Diploma / Bachelor’s Degree in any discipline.
**Job Type**: Permanent
Pay: Up to ₹300,000.00 per year
**Benefits**:
- Health insurance
- Provident Fund
Schedule:
- Night shift
- US shift
Work Location: In person
**Speak with the employer**
+91 9385499025
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