Senior Operations Specialist (Promotion)
Current• Prepare claims for adjudication by verifying the claim type entering the data onto EPIC.• Processed over the production goal with an accuracy rate 98.28%-unit goal.• Review promissory notes to ensure they comply with federal regulations and prepared claims packages for imaging per unit procedures and expectations exceeding p-note pre- production 29 per hour above the 23 claims per hour set.• Trailing document process to be accepted for death, disability, and bankruptcy claims.• Adjudicate default claims in compliance with the federal regulations.• Perform timely audits of claims files.• Training and development of team-members.• Other duties as assigned.