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Job Description
- Supervision and coordination of Approval Doctors on process of pre-approvals.
- This role includes monitoring of pre-approval Turnaround time, analyzing processes between Approvals and medical providers to ensure that all cases are categorize on specified priority and to reply to each request on a given specification limit.
- Manage operations and productivity at an insurance company.
- Create and modify procedures and documents related to policies.
- Assist in claims management.
- Identify and analyze risks associated with policies.
- Achieve target budgets.
- Minimize risk of financial loss.
- Obtain and oversee company insurance or related funds that management uses to cover costs such as disability benefits or lawsuits.
- Direct information for claimants.
- Preside over claims investigations.
- Review insurance policies.
- Manage insurance data for reports.
- Analyze statistical data, such as mortality, accident, sickness, disability, and retirement rates and construct probability tables to forecast risk and liability for payment of future benefits
- Determine premium rates.
- Ascertain cash reserves necessary to ensure payment of future benefits.
Job Requirements
- 5-10 years of experience is needed.
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