at Crawford & Company in Lake Zurich, Illinois, United States
Job Description
Excellence In Everything We Touch
Position Summary
Monitors and analyzes six monthly duplicate payment reports daily, in order to assist the client in receiving reimbursement of the amounts that were issued twice in error. Makes contact with Payees and processes refunds where necessary.Responsibilities
+ Maintains monthly log of potential duplicate payments issued on claim files by adjusters and medical management and amounts to be collected
+ Reviews monthly claim reports for existing and new potential duplicate payments that requiring reimbursement
+ Confirms that claim has a true duplicate payment
+ Analyzes systems/documentation, and gather all necessary documentation to support proof of duplicate payment.
+ Contacts payee via phone, email/fax or sends certified letter who received duplicate payment and advises we are trying to collect the duplicate payment
+ Provides any required documentation payee requires to issue reimbursement
+ Works with claim offices, legal and law offices when collection of duplicate when resistance is received from payee.
+ Contacts adjusters for Stone Eagle issued payments to send email to place stop payments or void V Card payments if not yet cleared.
+ Receives and logs all collected amounts onto duplicate payment logs.
+ Processes LF002 refund memos to apply reimbursement.
+ Documents the claim file with a file note.
+ Maintains Standard Operating Procedures and training materials
+ Performs other related duties as required or requested
Requirements
+ Bachelor’s degree in Accounting, Business Administration, or related field is preferred.
+ Minimum of three years’ experience or equivalent combination of training and experience that would produce the knowledge and skills required for the job.
+ Understand the impact of decision, action, and technology on Broadspire’s and customers systems
About Us
Why Crawford? Because a claim is more than a number – it’s a person, a child, a friend. It’s anyone who looks to Crawford on their worst days. And by helping to restore their lives, we are helping to restore our community – one claim at a time. At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We’re looking for the next generation of leaders to take this journey with us. We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values. Learn more at www.crawco.com. When you accept a job with Crawford, you become a part of the One Crawford family.+ Our total compensation plans provide each of our employees with far more than just a great salary
+ Pay and incentive plans that recognize performance excellence
+ Benefit programs that empower financial, physical, and mental wellness
+ Training programs that promote continuous learning and career progression while enhancing job performance
+ Sustainability programs (https://www.crawco.com/about/social-responsibility) that give back to the communities in which we live and work
+ A culture of respect, collaboration, entrepreneurial spirit and inclusion
Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V Crawford & Company is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means.Posted Date3 months ago(5/10/2024 10:00 AM)
Requisition ID2024-25340
Job LocationsUS-IL-Lake Zurich
Position TypeRegular Full-Time
CategoryAdmin/Clerical
Business UnitBUS_TPA US