Compensation adjuster vs insurance investigator

Differences between compensation adjuster and insurance investigator duties and responsibilities

Compensation adjuster example responsibilities.

• Manage litigation claims including mediation and arbitration from inception to close.
• Apply strong customer service, organizational and multitasking skills to efficiently manage auto insurance claims.
• Compile and validate information relay to legal department for litigation arising from medical claims.
• Research and review delinquent mortgage cases, financial scenarios and individual homeowner situations to develop solutions compliant with investor policy.
• Close files once MMI and/or settlement reach
• Input new CPT codes into system as changed by HIPPA law regulations.
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Insurance investigator example responsibilities.

• Manage and dispose of claims in litigation by preparing and developing strategy with defense counsel and consensus relative to litigation handling.
• Research commercial coverage plans and government plans such as Medicare and Medicaid.
• Follow all HIPPA guidelines and procedures to protect patients and company interest.
• Analyze high risk transaction activity and provide final approval of investigative case analyses utilize for SAR preparation and filing.
• Prepare facility specific HIPAA authorizations for release of records.