Claims reviewer vs sales associate and customer service

Differences between claims reviewer and sales associate and customer service 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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Sales associate and customer service example responsibilities.

• Manage call center productivity levels by maintaining CSR schedule adherence.
• Manage cash balances and inventory stock accurately; ensure cleanliness of all work stations and guarantee excellent customer service.
• Investigate, analyze, and troubleshoot any issues with a particular delivery.
• Elicit and record customer information and inquiries via customer relationship management (CRM) software.
• Move to the CSR position selling and leasing name brand products at a guarantee low price.
• Provide technical support, and troubleshoot online-base ordering system.
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