Claims account specialist vs claims adjuster

Differences between claims account specialist and claims adjuster duties and responsibilities

Claims account specialist example responsibilities.

• Manage accounts for healthcare clients, review detailed patient information for payment resolution while abiding HIPPA privacy and security regulations.
• Interview incoming patients, his/her relatives, or other responsible individuals to obtain identifying and biographical information with insurance and financial information
• Review HMO insurance vouchers and resubmitted if necessary.
• Utilize excellent communication and negotiation skills to resolve credit card delinquency favorable to company and card member.

Claims adjuster example responsibilities.

• Achieve targeted performance goals to manage costs and support Allstate's industry-leading operational standards.
• Maintain a full caseload of WC files for a Louisiana customer, for six months, while managing this team.
• Manage California branch operations including supervision of 5 WC adjusting and support staff
• Apply strong customer service, organizational and multitasking skills to efficiently manage auto insurance claims.
• Manage strict confidentiality of documents and comply with HIPAA regulations stipulate by the facility and government.
• Manage file inventory by utilizing CCC pathways diary system documenting claim file activities in accordance with establish procedures
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