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Claims Examiner III job - ALICO - Wilmington, Delaware
| Company Name | ALICO jobs |
| Position Type | Full-Time |
| Job Location | Wilmington, Delaware DE |
| Job Posted | October 30, 2009 |
| Source | www.careerbuilder.com |
Claims Examiner III 
Highlights Job ID: 50102 Position Type: Full Time - Regular Location: DE-Wilmington (downtown) Relocation: No Requirements: High School diploma 4 years of Medical Claims experience Knowledge of Group claims processing Customer service experience Knowledge of applicable claims systems Knowledge of medical terminology Excellent written and oral communication skills Education: Some College Experience: 3-5 years Description: Investigate contestable/fraudulent claims with duplicate coverage Handle subrogation actions Monitor medical claims procedures in branch offices and worldwide AIG affiliate offices, as appropriate Audit and review complex medical claims Coordinate refunds with NY Accounting Department and Home Office Administration Review policies to determine eligibility of claimant and policy status Apply applicable claims provisions; evaluate claims, process, and adjudicate claims Process reinsurance if applicable Under immediate supervision, learn medical claim examining practices and procedures, including evaluation, investigation, and processing Gather information and documents Code and adjudicate claims online Coordinate benefits between primary and secondary carrier Answer ...
