Genesis10
Claims Specialist
Location: 906 Adobe St, Los Angeles, CA 90012 (Onsite)
Duration: 04-08 weeks contract
Job Summary Responsible for reviewing, analyzing, and optimizing Fraud, Waste, and Abuse (FWA) case dispositions for client. The role focuses on improving case accuracy, prioritizing open investigations, and developing a roadmap to resolve backlog and strengthen case management processes.
Key Responsibilities
Review and assess FWA case files, documentation, and disposition rationale.
Identify discrepancies, misclassifications, and process gaps.
Recommend updated dispositions and categorize cases by severity and risk.
Prioritize open and unresolved cases using defined risk and impact criteria.
Develop a phased roadmap to address backlog and enhance future case workflows.
Prepare detailed reports and executive summaries with key insights and recommendations.
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Duration: 04-08 weeks contract
Job Summary Responsible for reviewing, analyzing, and optimizing Fraud, Waste, and Abuse (FWA) case dispositions for client. The role focuses on improving case accuracy, prioritizing open investigations, and developing a roadmap to resolve backlog and strengthen case management processes.
Key Responsibilities
Review and assess FWA case files, documentation, and disposition rationale.
Identify discrepancies, misclassifications, and process gaps.
Recommend updated dispositions and categorize cases by severity and risk.
Prioritize open and unresolved cases using defined risk and impact criteria.
Develop a phased roadmap to address backlog and enhance future case workflows.
Prepare detailed reports and executive summaries with key insights and recommendations.
#J-18808-Ljbffr