Nurse Reviewer / Claims Analyst (RN)

  • Location
    Beaverton, Oregon
  • Job type
    Contract/Temporary
  • Category
    Medical & Science - Medical Technician

Nurse Reviewer / Claims Analyst
Beaverton OR
$30-$35/hour
10 month contract

Summary
The Claims Analyst 3 – Nurse Reviewer (CA3) works on the full range of claims, correspondence, quality assurance and escalations to ensure the satisfaction of the goals and priorities of the team. The CA3 also does their part to meet expectations of internal and external clients with respect to claim handling and Service Level Agreements.
Our client is a global legal services organization that emphasizes technological solutions to our clients’ legal needs. The Beaverton office specializes in the administration of class action settlements, mass torts, and similar legal matters that impact large populations of potentially injured parties.

Job Responsibilities:
• Follows written procedures and scripts
• Consults with team leadership and peers on case work
• Uses proprietary software tools to access and review claim documents, enter claim decisions, and create escalations when needed
• Communicates immediately to leadership all obstacles to completing work
• Meets and exceeds departmental expectations for accuracy and productivity
• Contributes subject area expertise to determine processing guidelines and assess if standards have been met
• Utilizes documented team processes to ensure compliance with departmental standards
• Data entry and verification
• Drafts claimant facing communications based on guidance provided
• Communicates directly with claimants by phone or email
• Verifies data and processing requirements and makes corrections as necessary
• Other projects as assigned

Qualifications
• RN or New Grads with an Associate Degree in Nursing with at least 0 - 3yrs of experience in claim documentation and quality assurance
• Excellent attention to detail
• Strong communication skills, both written and verbal
• Sharp critical thinking skills with sound judgment
• Ability to sit at a computer workstation for long periods of time




If you meet the above Nurse Reviewer / Claims Analyst 3 qualifications please click apply now. For other opportunities available at Adecco Medical and Science go to www.adeccousa.com. If you have questions about the position, please contact Dorian Baker at 650-745-3111 or email your resume directly to dorian.baker@adeccona.com

Equal Opportunity Employer Minorities/Women/Veterans/Disabled


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Reference number US_EN_2_108218_327900