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PURPOSE OF THE ROLE
Investigate, evaluate, and settle claims by collecting and analyzing data according to policy application and contract provisions. Determine whether to accept or deny a claim based on all documentation received. Individuals at this level may also review and audit files for financial and system accuracy and determine which claims will be released/returned to other analysts for further investigation.
PRINCIPLE DUTIES AND RESPONSIBILITIES:
QUALIFICATIONS:
EXPERIENCE:
SKILLS AND COMPETENCIES / LEVELS
Technical skills:
Competencies:
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