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Claims Resolutions Analyst
JOB SUMMARY: The Claims Resolutions Analyst supports the review and resolution of payment disputes including indebt research and response to project related disputes; preparing written responses to appeal and reconsideration decisions, receipt of complex sys-aid tickets, call tracking and web related inquiries. Tracking and trending of incorrect claims outcomes and work with department leaders to correct adjudication processes. The Claims Resolution Analyst will work urgent and priority requests, work in tangent with leaders to support testing and training initiatives. Additional tasks include corrected claims; retro authorizations, incorrect denial requests, and review of corr


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