Claims account manager vs claims manager

Differences between claims account manager and claims manager duties and responsibilities

Claims account manager example responsibilities.

• Manage complex service inquiries and coordinate action among multiple departments for brokers and TPA's.
• Manage accounts while providing excellent customer service, help build financial relationships, redirecting calls in upselling credit per customer needs
• Process and coordination of benefits for Medicaid and Medicare.
• Field supervision and oversight of the job on build days ;.
• Review and grant authority on all settlements in excess of recovery specialist's authority, closure requests and arbitration referral requests.
• Develop concepts and procedures, analyze and resolve general ledger interfaces with computerize payroll, time tracking and project accounting system.
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Claims manager example responsibilities.

• Manage multiple outsource PPO networks that enable company to increase top line revenue.
• Achieve improved structure and efficiency with initiation of pip specific unit.
• Manage day-to-day operations of claims department and provide general oversight and direction of all claims activity.
• Oversee implementation and management of litigation and expense protocols including AFA agreements and BLO oversight.
• Respond to all DOI questions and concerns.
• Work with TPA, service providers and personnel on the design, implementation, and management of wellness programs.
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