NO FAULT PROCESSOR (Hybrid)

Support claims professionals in the performance of their job responsibilities.

Essential Duties & Responsibilities

• Send appropriate initial and follow up forms in compliance with applicable regulations including:

o Wage claims, nf-2,3,4,5,6, 8 and 11

• Document incoming nf-2 and assist in the identification of coverage issues

• Preparation of denials and delays

• Prepare FTC denials, ime denials and blanket denials

• Prepare peer denials

• Timely set up new claims and assist in the completion of investigations including coverage notes

• Make appropriate inquiry to obtain additional information required to effectuate job responsibilities

• Timely complete and maintain mailing logs

• Maintain records and provide information to generate production reports

• Following and maintaining identified claim diaries

• Assist in various projects including file closings and data entry

Other Duties

• Assist in the process of six-month EOB’s.

• Assist in check request and preparation process.

• Fee Schedule NF billing.

This job description in no way states or implies that these are the only duties to be performed. You will be expected to follow any other job-related instructions and to perform other job-related duties as requested by your supervisor.

Qualifications

Basic but evolving knowledge of the applicable No Fault claims and applicable regulations and litigation.

• This is a hybrid position requiring 2 days in-office per week.