Insurance underwriter vs adjuster

Differences between insurance underwriter and adjuster duties and responsibilities

Insurance underwriter example responsibilities.

• Manage patient's records, appointments, and account balances while adhering to HIPPA standards.
• Manage A/R, A/P, credentialing, surgery scheduling, and coordinate patient referrals to other physicians.
• Manage operating procedure and accounting systems for payroll, operating expenses, supplies and inventory management and commercial accounts.
• Prepare all HCFA billing with proper ICD-9 codes and CPT codes for accurate turn around time on payments.
• Follow up with insurance carriers and patients to expedite the recovery of payment obligations
• File insurance and process billing and payments, coordinate patients financial arrangements, present treatment plans, verify insurance coverage.
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Adjuster example responsibilities.

• Manage strict confidentiality of documents and comply with HIPAA regulations stipulate by the facility and government.
• Review evidence obtain in liability investigations to evaluate a claim for success in recovery through litigation or arbitration.
• Document measurements and relevant data to author estimates and appraisals utilizing Xactimate 28software.
• Charge with answering and defending policy holders and company interests through independent and binding third-party arbitration proceedings.
• Review departmental reports and financial data; prepare reports of findings, negotiating settlement demands or recommending litigation.
• Prepare computerize estimates utilizing Xactimate and document all activity associate with the claim in clients web base claims management system.
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