, spreadsheets, etc. Valid California driver’s license and proof of current automobile insurance compliant with Partnership policy.... Assists Partnership staff and providers with the interpretation of Partnership policies, procedures, and regulatory...
-key calculator. Valid California driver’s license and proof of current automobile insurance compliant with Partnership... outcome to providers and affected Partnership managers. Develops and maintains provider training materials for all lines...
Overview: Train examiner and customer service level I staff on all related claim types for all Partnership lines...: Education and Experience Minimum two (2) years of claims examining experience and completion of Partnership Claims training...
, Visio, and PowerPoint. Valid California driver’s license and proof of current automobile insurance compliant... with Partnership policy are required to operate a vehicle and travel for company business. . Performance Based Competencies...
as assigned. Qualifications: Education and Experience Minimum three (3) years claims examining experience;or Partnership... claims examining experience and completion of Partnership claims training;or equivalent combination of education...
for all Partnership lines of business. Responsibilities: Perform concurrent and retro claims audits on new Claims examining staff.... Document audits and report all audit outcomes following the Partnership Claims Operating Instruction Memorandums on claims...
Partnership departments and internal staff for additional review. Follows up and completes claims once response to request... has been received. Follows established Partnership policies and procedures, Partnership Claims Operating Instruction...
management and staff, external clients, and vendors. Valid California driver’s license and proof of current automobile insurance... compliant with Partnership policy are required to operate a vehicle and travel for company business. Performance Based...
to HealthPlan members referred to the Care Coordination Department for Case Management services and programs. The Health Care Guide... into the Care Coordination Department requesting assistance and information about available Partnership programs...
as assigned. Qualifications: Education and Experience Minimum three (3) years claims examining experience;or Partnership... claims examining experience and completion of Partnership claims training;or equivalent combination of education...