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Sr Claims Quality Assurance Analyst
JOB SUMMARYTo review claims for new hires, experienced Examiners and auto adjudicated claims in a timely and consistent manner. Generate accuracy reports per processor to be reviewed by operations management and senior management staff. Senior Claims Quality Assurance Analyst will be responsible for trending and root cause analysis and providing a clear and concise report to the management staff. Senior Claims Quality Analyst will be responsible for reviewing and responding to all first level appeals. Senior Claims Quality Analyst responsibility will include mentoring Examiners and Quality Analyst as requested. Responsibilities also include the review and audit of the Provider Communication, Provider Fee
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