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Complex Claim Assessor

Job LocationTaunton
EducationNot Mentioned
Salary21,777 - 23,431 per annum
IndustryNot Mentioned
Functional AreaNot Mentioned
Job TypePermanent , full-time

Job Description

My client is a prestigious multi award winning organisation, whose main focus is on delivering world class customer service to its clients. This is a great chance to join their growing business, who offer exceptional training in an outstanding professionalenvironment.The roleAn exciting opportunity has arisen within the UK Invoice Team as a Complex Claims Assessor. The UK Invoice Team are responsible for ensuring complex invoices are accurately assessed in accordance with clinical guidance, internal processes,policy and scheme rules. The team must liaise effectively with all areas of the business and understand the risks that apply to high-cost claims.As a Complex Claims Assessor, the successful candidate would be responsible for: Analysing and processing high value invoices, ensuring costs are in line with pre-authorised treatment. Reviewing and resolving complex provider queries by liaising with relevant parties. Negotiating provider charges to ensure reasonable fees have been applied for the medical treatment provided. Working with and understanding the Clinical and Coding Scheduling Database to ensure fee levels have been appropriately applied by treating specialists. Answering telephone calls from healthcare professionals and colleagues across the business in relation to complex cases, providing up to date and accurate advice in relation to invoices. Building professional and ongoing relationships with individual providers, hospitals, clinics and internal departments.Key Skills: A desire to be part of a team that is passionate about what they do Great attention to detail Numerate Problem Solving Working to deadlines and targets A minimum of 5 GCSEs or equivalent at grade C/Level 5 or above, which should include Maths and English.This a great opportunity with company who have continued to raise the bar in industry standards, work with household global names and want to bring in talented people to share their success.Call today for more information!

Keyskills :
Invoicecustomer serviceadministrationdata analysis

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