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PA Claims Examiner
at Aon in Indiana
Aon is a global leader in risk management, insurance and reinsurance brokerage, human capital and management consulting, and outsourcing with more than 43,000 employees in 500 offices in more than 120 countries. We integrate customized services, leverage expertise across industries and apply business knowledge to our clients' strategic goals. Aon helps clients anticipate how change intersects with opportunity. Each of our clients has unique business needs, so we have developed expertise for a complete range of business processes, products and industries. Aon’s account and relationship managers form a comprehensive perspective of our clients’ organizations, matching our expertise to their business strategy.
The Claims Examiner handles all assigned claims to a conclusion. Handles a high volume of claims and maintains Customer Service standards. Interacts with Carrier, Claimant, Health Care Providers and Policyholders.Essential Job Functions- Confirm coverage in system and verifies that both team and individual are sanctioned. Sends initial contact letter which also explains which benefits are available
Obtain information necessary for support staff to establish claim in the system
-Investigate to verify that injury occurred while claimant was participating in a covered even
-Analyze medical bills for causal relationship to the accident/injury
-Review Explanation of Benefits from primary insurance to determine obligation under our policy
-If appropriate reprice medical bills through the PPO network and/or use system to see if procedures were reasonable and customary to establish proper payment.
- Issue payment to medical providers.
Handle all inquiries from claimant, insured or medical provider regarding the status of a claim- Comply with all rules, regulations and laws regarding the payment of medical claimsRequirements
High School diploma- Accident and Health experience preferred
Aon offers competitive compensation, exceptional benefits, continuing education & training, a unique internal advancement program, and tremendous potential with a growing worldwide organization.
Aon's professionals are unwavering in their client focus and integrity. We promote diversity, professional development, frugality and stewardship, applying a disciplined non-bureaucratic approach to help our clients realize their business potential. Drawing on our experienced team as a competitive advantage, Aon employees have the freedom to take risks, foster innovation, champion for change and replicate best practices.
For more information about Aon Corporation, visit our website at http://www.aon.com.
Aon is an equal opportunity employer committed to a diverse workforce. M/F/D/V
DISCLAIMER:
Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time.
How to apply: DO NOT use the Apply Online button. Please copy and paste the following link into your browser address bar: http://aon.contacthr.com/15117608
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