Adjuster vs agent

Differences between adjuster and agent duties and responsibilities

Adjuster example responsibilities.

• Manage strict confidentiality of documents and comply with HIPAA regulations stipulate by the facility and government.
• Review evidence obtain in liability investigations to evaluate a claim for success in recovery through litigation or arbitration.
• Document measurements and relevant data to author estimates and appraisals utilizing Xactimate 28software.
• Charge with answering and defending policy holders and company interests through independent and binding third-party arbitration proceedings.
• Review departmental reports and financial data; prepare reports of findings, negotiating settlement demands or recommending litigation.
• Prepare computerize estimates utilizing Xactimate and document all activity associate with the claim in clients web base claims management system.
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Agent example responsibilities.

• Schedule and meet individuals\groups for assign or self-generate leads, assist and enroll eligible individuals in suitable Medicare product.
• Verify documentation and coding using CPT and ICD-9 correct coding standards.
• Assist TANF customers with obtaining employment.
• Direct compliance with all CPT and Medicare guidelines.
• Train BDC representatives on phone skills and CRM use.
• Bill appropriate ICD-9 codes to the correct insurance companies.
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