of Claims Operations has overall responsibility and accountability for effectively and efficiently leveraging staffing..., technology, and vendor relationships to lead claims processing and service operations. Establish the strategic direction for the...
leadership oversight and directs the operations for the program integrity department and associated functions. Accountable..., practices, operations, and requirements required. Knowledge of ICD-10 and CPT/HCPC coding guidelines and terminology...
expected loss performance for both new business and renewals. Identify/investigate specific accidents/claims that represent... risk versus class of risk based on scope of operations. Provide Underwriting with information on catastrophic exposures...