Quality Claims Associate in California

The Quality Claims Associate plays a vital role in ensuring that quality claims and disputes are resolved fairly and efficiently. The role involves examining claims, gathering evidence, and resolving issues in an impartial manner. This position requires strong analytical skills, attention to detail, and effective communication.

Duties and Responsibilities

• Investigate claims and disputes to determine their validity.
• Gather and analyze data and documentation.
• Prepare reports and recommendations for resolution.
• Communicate findings and decisions to stakeholders, including clients and interpreters.
• Ensure compliance with agency policies and legal regulations.
• Collaborate with various departments to gather necessary information and support.

Disclaimer

This job description is not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with this role. The duties,...