Claims Reseach Specialist/Adjustor - (Fargo, ND)

Requisition Number 19-0129 Post Date 2/14/2019 Title Claims Reseach Specialist/Adjustor City Fargo State ND Description Job overview The Claims Research Specialist is responsible for using knowledge to conduct research on complex claims and benefits issues and adjust appropriate claims. This role identifies trending issues within claims processing and assists with frontline resolution to ensure that questions or concerns are resolved in a timely manner. This position works directly with various internal departments and external entities to resolve questions pertaining to claims and benefits. Key functions Conducts in-depth research on claims and benefits issue requests received through internal systems. Reviews claims errors to determine if it's a system or manual error, documents research outcomes and adjusts claims per benefits policies and procedures, if necessary. Follows up with appropriate individuals or areas to gather additional info to remedy issues.