/ http://www.slideshare.net/images/logo.gif / ºÝºÝߣShare feed for ºÝºÝߣshows by User: VondaWooden https://cdn.slidesharecdn.com/profile-photo-VondaWooden-48x48.jpg?cb=1652813439 • Investigates and facilitates the resolution of claims issues, including incorrectly paid claims, by working with multiple operational areas and health plans and analyzing the systems and processes involved in member enrollment, provider information management, benefits configuration and/or claims processing • Identifies the inter-dependencies of the resolution of claims errors on other activities within operations • Assists in the reviews of state or federal complaints related to claims. Coordinates the efforts of several internal departments to determine appropriate resolution of issues within strict timelines • Interacts with network providers and health plans regularly to manage cust...