Occupation:Claims Investigator |
Location:Northbrook, IL |
Education Level:Bachelor |
Will Relocate:No |
Description
Self starter with intelligence and determination to find the answers and complete the tasks
Accomplishments
Highlights:
•Provide format-specific recommendations that were incorporated into UnitedHealth Group 2001 Certificate of Contracts •Evaluate health care contracts for compliance with state and federal regulations, and administrative code •Initiate escalation of interpretive discrepancy with A.R.S. 20-461(A)(16) by UnitedHealthcare of Arizona and Arizona Department of Insurance regarding $6 million in claim costsCompanies I like:
Blue Cross, Blue Shield, University of Chicago, Rush St. Luke's, workers' compensation carrier
Job Skills
Keywords
Responsibilities
•Evaluate health care contracts for compliance with state and federal regulations, and administrative code
•Research, develop and design Advance Directive legal document for Maricopa County, Arizona Regional Behavioral Health Authority