Function as a central communication point between claims processing teams and internal/external partners regarding claim status, issues and resolutions.
Investigate and resolve escalated claims and trends, including denied or delayed claims, by coordinating with relevant departments to implement short- and long-term solutions and process improvements.
Manage open claims issues to ensure timely resolution in compliance with internal SLAs and regulatory standards.
Collaborate with internal teams to conduct training sessions and measure effectiveness of trai
