Claims reviewer vs guest service representative

Differences between claims reviewer and guest service representative duties and responsibilities

Claims reviewer example responsibilities.

• Manage day-to-day operations of claims department and provide general oversight and direction of all claims activity.
• Review worker comp claims base on state fee schedule and ICD-9 guidelines.
• Research ICD-9 codes and verify they are equivalent with customer s diagnoses.
• Review accounts per OCC guidelines that all efforts are met and due diligence complete.
• Research claims, review document findings and execute OCC approve harm test for each file.
• Help maintain company compliance with FDA and ICH Regulations/Guidelines governing the reporting of adverse event reports.
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Guest service representative example responsibilities.

• Manage department's expenses, complete weekly schedules, oversee payroll accuracy and act as a mentor to fellow supervisors.
• Provide energetic and enthusiastic customer service to VIP clientele.
• Operate PBX system including mail/message service; for hotel reservations
• Handle phone inquiries and phone communications to verify upcoming reservations and pet medical records.
• Exhibit exemplary customer service to patients while providing a therapeutic and comfortable environment within the clinic.
• Operate machinery for pools and slides and CPR certify
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