Claims Representative - (Springfield, MO)

American National - Seeking Auto Claims Handling Background Medicare Claims Representatives are required to handle and investigate injury claims due to prior serious disabilities if the beneficiary is under 65yrs of age. Frequently, prior health issues are involved with Medicare beneficiaries over the age of 65. Position assignments: Review facts of loss and details of coverage via the computer system. Determine investigative needs to assess liability and set proper reserves. Document computer log with results of review and intentions for handling. Explain claims process, medical forms and coverages. Document contact with all parties. Verify medical, injury and wage loss damages by obtaining HIPPA compliant authorizations along with gathering medical bills and reports.