Assembly Adjuster Job Description Samples

Results for the star of Assembly Adjuster

Workers Compensation Claims Adjuster - Temp

The Workers Compensation Claims Adjuster investigates, evaluates, disposes and settles the most complex claims and highest exposures with minimal supervision.  Includes the investigation, determination and evaluation of coverage, liability and damages, and the setting of proper reserves. This position is a contract temp position which could go from temp to hire.
Primary Duties &
  • Exercises proper judgment and decision making to analyze the claims exposure, to determine the proper course of action and to appropriately settle the claim. 
  • Interact extensively with various parties involved in the claim process.
  • Ability to clearly communicate concise action plans, and present plans for moving the case to conclusion.
  • Demonstrate complete knowledge of the claim file process through presentation of actions and responses to client questions.
  • Processes claims consistent with clients' and corporate policies, procedures and "best practices" and also in accordance with any statutory, regulatory and ethics requirements.
  • Demonstrated ability to comply with carrier reporting and threshold requirements.
  • Able to recognize and pursue excess insurance recoveries.
  • 5 or more years related workers compensation claims experience required
  • Appropriately licensed and/or certified in all states in which claims are being handled
  • Extensive knowledge of accepted industry standards and practices
  • Computer experience with related claims and business software
  • High School Diploma

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Auto Claims Adjuster

Auto Claims Adjuster

Location :​Gilbert, AZ - - -

Job Summary Are you looking for a position that offers advancement opportunities, great benefits and recognition for a job well done? Join MAFPRE Insurance! MAPFRE Insurance is a forward thinking insurance company offering friendly service from over 2,000 professionals focused on taking care of you and your family. For decades, MAPFRE Insurance has been protecting families and their possessions with quality insurance coverage and a strong commitment to service excellence.   Your Future Starts Here!

Auto Claims Adjuster May be filled at a higher level commensurate with experience.   In this position, individuals will be trained in handling/adjusting of automobile physical damage claims.

This is a multi-state position which will require developing a proficiency in interpreting, understanding and applying multiple policies/products and multi-jurisdictional claim handling requirements. The individual will need to possess or be able to obtain the appropriate state adjuster licenses required by state statute. The individual in this position will handle a pending of automobile property damage claims which will consist of Collision, Other Than Collision, Property Damage & Uninsured Property Damage features.

Primarily be responsible for the screening and processing of losses, determining coverage exposures, liability analysis, negotiating settlements, and making payments. Frequent oral and written communication with customers is required and must be timely and professional.

Job Requirements + Education: Bachelor's Degree or professional level of knowledge in a specialized field, or equivalent, related experience.

  • Experience: 0 - 2 years - or Associates Degree equivalent plus 2 - 4 years.

  • Knowledge: Limited to moderate knowledge of industry practices, standards, and concepts within field of work. Learns to apply them to the job.

  • Decision Making: Makes decisions related to a wide variety of situations within management limits.

    Interprets guidelines and procedures, applying judgment and discretion. Decisions influence portions of a project, client relationships and/or expenditures.

  • Supervision Received: Works independently under moderate to general supervision, receiving specific and detailed instructions on new types of work.

  • Leadership: Works as an individual contributor. Learns the job.

  • Problem Solving /Operations/Direct Work Involvement: Applies knowledge to help solve problems of relatively limited scope and complexity which require independent thinking.

  • Client Contacts: Contacts other departments and or external organizations or parties frequently.

    Contacts are primarily at or below upper management levels. Represents organization on specific projects. Communication may involve persuasion, and negotiation.  Additional Knowledge, Skills and Abilities A minimum of one year Contact Center Claim Services or equivalent claims adjusting, or related work experience is required.

    The ability to obtain necessary licensing for geographic area assigned to the position based on business need is also required.

    This position requires excellent written and oral communication skills and the demonstrated ability to organize and prioritize work to assure productivity goals of managing a pending are met. Strong telephone customer service skills and the ability to empathize is needed.

    Must possess basic CRT / PC skills with accurate keyboarding abilities. Must possess good math skills and be able to work in a fast paced environment. MAPFRE is committed to recognizing our employees as our most valuable resource.

    We know our employees are the foundation for our accomplishments. That’s why we offer so many opportunities to share in the success they help us achieve.  We are MAPFRE. We are people who take care of people. If you require an accommodation for a disability so that you may participate in the selection process, you are encouraged to contact the MAPFRE Insurance Talent Acquisition team at We are proud to be an equal opportunity employer.

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Claims Adjuster - Workers Compensation Manager

Claims Adjuster - Workers Compensation Manager

Tracking Code 1983-224 Job Description

Summary The Workers Compensation Manager will be responsible for the investigation, negotiation and resolution of claims in accordance with policy provisions, best practices and jurisdictional requirements. Accountable for the promotion of a safe and healthy work environment and to prevent and minimize work injury costs. Assist with injury prevention, accident investigations and managing and monitoring claim activity. Works closely with injured workers, medical providers, TPA, defense counsel, vocational counselors, nurse case manager, private investigators, Executives, Vice President of Operations, Regional Managers & Branch/Division Managers. Key traits for the individual in this position are: highly developed communications, team player, strategic and creative, excellent project management skills and the ability to drive performance from all areas within the company.

Essential Functions 1. Lead Management of Workers Compensation Claims + Maintains current knowledge of trends and practices and remains apprised of current law changes, court rulings and related matters that might affect the handling of claims.

  • Builds business relationships both internally and externally and effectively communicate with TPAs, Inside/Outside Counsel, Corporate Legal, Independent Adjusters (IA), Experts, Executive Leadership and Operational Management.

  • Meets internal service level agreement (SLA) standard.

  • Manages Workers Compensation costs to reduce liability. 1. Drive Communication and Reporting + Responsible for the preparation and dissemination of reports as directed by management which includes “ad hoc” reporting.

  • Act with a sense of fiduciary responsibility.

  • Collect and analyze data to detect deficient contract management discrepancies.

  • Prepares reports by collecting, analyzing, and summarizing data; making recommendations trends and recommended next steps.

  • Compile and submit reports required by company management, regulatory agencies and inside/outside counsel which also includes Ad Hoc reporting where necessary. 1. Collaborate Effectively Across all Organizations

  • Assists injured worker with workers’ compensation benefits, including appropriate medical care.

  • Communicates effectively and openly with upper management and divisions on the status of injured workers.

  • Coordinates action plan with TPA and defense attorneys.

  • Compiles and submits reports required by company management, regulatory agencies and insurance companies.

  • Organizes and attends claims reviews.

  • Organizes and attends claims reviews, as requested by Workers’ Compensation Manager. 1. Claims Management + Day to day management of claims and loss control activities.

  • Assists with investigation of accidents, near misses or problem areas and recommends future preventive measures including alternative methods or fixtures to alleviate hazards.

  • Uses discretion and independent judgment in claim handling + Works with TPA to establish appropriate reserve levels based on financial exposure and updates reserves upon receipt of new information

  • Management of relationships with third party service providers including brokers, insurers and other TPAs.

  • Prepares loss analyses and budgets.

  • Identifies exposures & recommend solutions.

  • Authorizes settlement agreements within assigned approval limits.

  • Promotes loss prevention.

  • Updates and monitor compliance with insurance procedures.

Role Requirements

Education & Certifications: Master’s or Bachelor’s Degree Course of Study: Risk Management, Finance, Business, Insurance or related field.

Preferred Special Certification or Licensing: + Associates in Risk Management (ARM) + All Lines Adjusters License Legal Age Requirements: At least 18 years of age Experience: 5+ years in Adjusting Workers Compensation Claims Type of Required Experience: Industry Specific: + Workers Compensation Insurance & Underwriting, Workers Compensation Risk Management, Workers Compensation Claims Management Functional Specific: (Project Management, Underwriting, Claims Management) + Risk management and claims handling experience in a publicly traded organization, particularly with regard to Workers’ Compensation, Construction Defect, General Insurance and Auto Liability.

  • Proficient in Adjusting Claims along with Microsoft Office Applications including Word, Excel & PowerPoint. WHY JOIN OUR TEAM? We promote an environment that offers a challenge, creates opportunities, fosters enthusiasm, maximizes full potential and rewards talent. We realize our employees are our most valued resource which is why we offer a variety of benefits including competitive compensation, comprehensive health, dental, vision coverage, paid holidays, paid time off, 401 (k) retirement plan, tuition reimbursement, employee assistance program services, flexible spending account (FSA), life insurance, short term and long term disability, discounted gym membership and a host of other discounts. Our goal is to promote a healthy work/life balance. Equal opportunity employer!

Job Location

Daytona Beach, Florida, United States

Position Type Full-Time/Regular

Union Status Non-Union

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Property Field Claims Adjuster III - San Antonio

The Road to Success Starts Here! AAA Texas is seeking career-minded individuals for our Homeowner Field Claims Adjuster opportunity in San Antonio, Texas with extended area to Austin, Texas. Under the general supervision of the Claims Management, your responsibilities will include: + Investigate, analyze, evaluate and settle insurance claims involving property damage losses + Deliver exceptional customer service through professional and timely communication including telephone, email and written correspondence + Determine value of a claim and negotiate settlements within prescribed limits of authority, in accordance with established procedures, contractual obligations and all state regulatory requirements Claims inventory complexity will range from basic claims to complex and high exposure claims, depending on experience level and proven abilities. May be asked to travel to other geographic regions to offer claims support in the event of a catastrophe. May be on-call. Extended and/or non-standard hours as required.

  • A four year college degree or equivalent job related experience + Requires an advanced knowledge of property construction

  • Experience writing structural damage estimates using computerized software applications preferred. Xactimate is a plus! + Must be able to climb ladders, balance at various heights, stoop, bend and/or crawl to inspect structures + Must be able to work outside in all temperatures and inspect property physically and visually + Excellent listening, verbal and written communication skills

  • Ability to multi-task and adapt to a changing environment + Strong organization and time management skills essential + Must be able to travel overnight as job requires. A valid driver’s license with safe driving records required + Texas Adjusters license required + Proficiency in general computer skills needed Benefits: + Health Coverage for Medical, Dental, Vision

  • Paid time off including Vacation, Illness Days and Holidays + Life Insurance + Disability Coverage + Pension

  • 401k Savings Plan

  • Wellness Incentive Program + Employee Discounts + Career opportunities across multiple business lines and states ‘Creating members for life by exceeding our members’ expectations through valuable products and legendary service.’ AAA is an Equal Opportunity Employer.


Organization:CLMS - TEXAS (00200.44.0760)

Title:Property Field Claims Adjuster III - San Antonio

Location:Texas-San Antonio (TX)

Requisition ID:14565

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Workers' Compensation Adjuster

Job Description MV Transportation is seeking a Workers' Compensation Adjuster for our Elk Horn Support Center.

Responsibilities: * Process new claims and guide employees to the appropriate medical treatment.

  • Manage the medical care on all workers' compensation claims.

  • Responsible for investigating, evaluating and negotiating prompt adjustment of claims.

  • Responsible for the training and development of policy and procedures.

  • Responsible for the complete subrogation process of investigation, negotiation and settlement of workers' compensation claims that have been identified to have subrogation potential.

Talent Requirements : * High School diploma; college degree is preferred.

  • Above average oral and written communications and organization skills.

  • Demonstrated ability to work with minimal supervision.

  • Flexibility to work in a changing environment.

  • Ability and desire to work in a goal oriented environment.

  • Possess a strong attention to detail.

  • Ability to manage time to complete daily tasks.

  • Above average skills on Microsoft Word, Excel and Outlook. Pre-employment drug screening and background check is required. MV Transportation is proud to be an equal opportunity/affirmative action employer. MV Transportation, Inc. provides equal employment and affirmative action opportunities to minorities, females, veterans, and disabled individuals, as well as other protected groups. CATEGORY: Customer Service, Health Care, Hospitality - Hotel LOCATION: US-IA-Elk Horn POSTING ID: TNWORKE77091_1492791092 EMPLOYEE TYPE: Full-Time EXPERIENCE: Not Specified

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Claims Adjuster

Bring your expertise to California Casualty, a family-owned property & casualty insurance company since 1914. We provide protection and peace of mind for the people that serve our communities including educators, firefighters, law enforcement, and nurses.

The insurance industry is always evolving. Our dedicated teams ensure we stay one step ahead. Now is your chance to join our topnotch specialists who make a real difference in the lives of our customers.Claims AdjusterAccidents happen.

And when they do, our claims department is right there, investigating and evaluating claims; and then negotiating settlements that are fair to our customers and our company. As a Claims Adjuster, you will conduct investigations of various auto and property claims over the phone, accurately recording information, and analyzing photos and police/medical reports. You will also determine coverage and liability by applying provisions of policy contracts in compliance with regulatory requirements and internal quality procedures.

Use your people skills and business smarts to provide excellent customer service by communicating with policyholders, claimants and vendors to promptly resolve problems. We seek candidates with: + Knowledge of investigation and negotiation techniques, as well as legal and medical terminology, homeowner and comparative negligence concepts, fraud recognition and insurance coverages + Bodily Injury experience (preferred) + Excellent verbal/written communication skills and sound judgment + A strong sense of organization to keep you on top of the large volume of calls you'll be working + High School diploma (some college preferred) + Ability to meet state licensing requirements Minimum starting annualized salary: $47,229 + (Can increase depending on experience).Launch your insurance career with us and you’ll make a huge impact on our future, as well as your own. Here, we are one big team and collaborative working is the backbone of our culture.

We not only expect our people to share ideas and support each other; we value individual contributions and recognize the unique talents of each employee. Our insurance company offers competitive salaries, a comprehensive benefits package, career support and a great work environment. Experience why California Casualty is such a dynamic place to work — and the right place for you!

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Claims Adjuster - Auto

American Guardian Warranty Services, Inc. is the leading provider of extended repair protection for auto and RV dealers and marketers across the U.S. This individual will report to the Claims Adjuster Supervisor and is responsible for providing exemplary customer service through authorization of vehicle service contract claims for vehicle problems. You will be challenged to solve problems in a fast-paced working environment. This position is responsible for investigating, evaluating and negotiating minor to complex vehicle repair costs and to accurately determine coverage and liability based on the reported fact scenario. You will be measured on your ability to provide accurate benefit and adjustment amounts on claims and reach fair and efficient claims resolutions while managing costs in accordance with policies and procedures.

  • Competencies

  • To perform the job successfully, an individual should demonstrate the following competencies to perform the essential functions of this position.

  • Problem solving—the individual identifies and resolves problems in a timely manner and gathers and analyzes information skillfully.

  • Interpersonal Skills—the individual maintains confidentiality, remains open to others’ ideas and exhibits willingness to try new things.

  • Oral communication—the individual speaks clearly and persuasively in positive or negative situations, demonstrates group presentation skills and conducts meetings.

  • Written Communication—the individual edits work for spelling and grammar, presents numerical data effectively and is able to read and interpret written information.

  • Planning/organizing—the individual prioritizes and plans work activities, uses time efficiently and develops realistic action plans.

  • Quality control—the individual demonstrates accuracy and thoroughness and monitors own work to ensure quality.

  • Adaptability—the individual adapts to changes in the work environment, manages competing demands and is able to deal with frequent change, delays or unexpected events.

  • Dependability—the individual is consistently at work and on time, follows instructions, responds to management direction and solicits feedback to improve performance. * * * Essential Functions: *

  • Answer inbound calls for Recreational Vehicle (RV), Auto, Light Truck and mechanical breakdown claims

  • Provide information about claim processing and explain the different levels of contract coverage and terms

  • Must be able to use good judgment and general repair best practices for claim resolution

  • Accurately establish, review and authorize claims utilizing corporate data entry system

  • Investigate and determine company liability based on cause of failure and vehicle coverage terms offered in vehicle service contracts as cost effectively as possible

  • Use of other available means of evaluation of a vehicle repair claim, such as reading inspection reports and vehicle maintenance records as recommended by the vehicle’s manufacturer

  • Return phone messages and emails within one business day

  • Provide accurate updates on computer files for calls received

  • Make use of problem solving/decision making skills to achieve the highest level of customer satisfaction and resolution of disputes

  • Read, understand and apply contract language

  • Understanding of general automotive repair procedures and processes The duties listed above are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position.

  • Benefits:* * * A comprehensive and competitive benefit program is designed to meet the needs of our employees and their families. Benefits eligibility depends on employment classification, location, and other variables. Comprehensive benefits offered include:
  • Competitive Salary

  • Medical Insurance

  • Dental Insurance

  • Vision Insurance

  • Basic Life and AD&D Insurance for Employee

  • Additional Life and AD&D Insurance for Employee, Spouse and Children

  • Long Term Disability

  • Employee Assistance Program

  • 401(k) Savings Plan with Match

  • Monday-Friday work week

  • Position shift is 9am-6pm (including 1 hour unpaid lunch period)

  • Paid Holidays

  • Paid Vacation

  • Paid Sick Days

  • Tuition Reimbursement

  • Requirements*
  • High School diploma or equivalent required

  • Minimum 2-4 years of experience adjusting RV, Automobile or Powersports mechanical claims

  • 2-5 years of experience as an automotive or RV mechanic or service advisor in a dealership service department or independent repair shop

  • Previous experience using vehicle tracking systems or databases is a plus

  • Current ASE certifications a plus

  • A degree or certificate from an accredited service technician program is preferred

  • Highly skilled in diagnosing auto mechanical failures

  • Knowledge of parts and repair costs for vehicles

  • Knowledge of Motorcycles and marine is a plus

  • Demonstrated proficiency with MS Office products (Outlook, Word, Excel) and related software applications

  • Proven call center experience

  • Ability to maneuver through multiple systems within a windows type environment

  • Strong organizational and customer service skills with ability to problem solve and multi-task

  • Detail oriented with a high level of accuracy in data entry skills

  • Ability to maintain confidentiality of sensitive information

  • Excellent written and verbal communication skills An Equal Employment Opportunity Employer and Drug Free Workplace

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Casualty Adjuster - Claims Adjuster - Bodily Injury Claims Adjuster


Fred Loya Insurance was established in 1974 and has grown to be one of the Largest Hispanic Top 500 Owned and Operated Companies in the United States.

Our commitment to providing fast, dependable service and competitive rates for general auto insurance has made us one of the fastest growing auto insurance groups with over 500 agencies throughout Texas, California, New Mexico, Colorado, Illinois, Georgia, Arizona, and Nevada.

Fred Loya Insurance is now recruiting for ATR Adjuster in the San Antonio, TX. The salary for this position begins at $60,000 and may be higher depending on adjuster experience level.

General Duties for this position:

  • Investigating accidents to determine liability and evaluate injury claims
  • Employee will analyze police reports and interview accident victims via the telephone, to investigate the cause of the accident, who is at fault, and to what degree
  • The Casualty Adjuster will work directly with customers to guide them through the claims process in a caring and professional manner and to negotiate fair and equitable settlements
  • Employee’s work will consist of attorney-represented cases and will be responsible for the evaluation, negotiation, and settlement directly with the attorney offices
  • Employee will be challenged to manage multiple cases simultaneously and document every step of activity for each claim in the system
  • Other duties as assigned by management or as needed.

Skills necessary for this position:

  • Ability to communicate with attorneys and others via the telephone and in writing to discuss liability determination and bodily injury settlements is a vital skill that will be needed to fulfill the requirements of this position
  • The employee must be able to handle a fast-paced environment while maintaining organization of their desk and incoming claims

Qualifications for this position:

  • Ideal candidate must possess Three (3) year Casualty claim adjusting experience in Attorney Rep area.
  • Excellent Customer Service experience.
  • College Degree preferred, but not required if previous experience meets requirements.
  • Proficient in Microsoft Office applications (Word, Excel, PowerPoint, Access, and Outlook) preferred.
  • Maintain statutory licensing requirements

We are committed to our employees and offer competitive wages, incentives, and an excellent benefit package to include: Medical, Dental, Vision, 401K plan and several voluntary benefits that can be selected based on individual needs. In addition, we offer paid Vacation Time, Sick time, and several paid Holidays. We are an equal opportunity employer.

To discover more about our company, you can visit our website at

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Optic Sensor/Electronic Assembly Tech

Our Company is an equal opportunity employer, offering employment without regard to race, color, religion, sex, national origin, age, sexual orientation, disability, or citizenship unless legally required, and provides equal employment opportunity to disabled veterans, and veterans of the Vietnam era.

This position is responsible to build and test fiber optic and electronic sub-assemblies. Duties include fiber splicing, fiber management, electro-mechanical and fiber optic assembly operations. This position is responsible for meeting production requirements and assisting in engineering development activities. The Fiber Optic Technician performs optical and electronic acceptance tests. Additionally, the Technician is responsible for monitoring, assisting, and improving all aspects of safety, quality, productivity, inventory and delivery in his/her work area.
Responsibilities include:

? Handling optical components and optical fiber

? Fiber optic stripping, cleaving, splicing and recoating

? Hand soldering, harness and PCB assembly

? Testing on a variety of equipment and records and analyzes results

? Follow specific workmanship instructions, multitask and be receptive to changing priorities


? 1-3 years plus experience in fiber optic system assembly or related field

? Knowledge of industry specific tests and testing equipment

? Experience working in a fast paced, constantly expanding and changing environment

? Excellent manual dexterity and visual acuity, high attention to detail

? Ability to use technical terms to communicate verbally and in writing

? Good organization, multi-tasking, time management and documentation skills

Our company is made up of highly talented, diverse, and motivated people who are dedicated to defining the business of politics. Headquartered in New York, we also have offices in Washington and London, as well as a vast network of experts around the world.

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Seattle Risk Adjustment Factors (Raf) Analyst - Managed Care

Risk Adjustment Factor (RAF) Analyst - Managed Care
Seattle, WA
Job Summary:

TheRisk Adjustment Factor (RAF) Analyst is responsible for providing clinical chart review expertise and data analysis in support of Quality Management programs (such as HCC Risk Adjustment Model & CMS STAR Initiatives).  This is to ensure the contracted and affiliated network of healthcare providers are delivering high quality, cost-effective, and responsive medical care, particularly as it relates to quality initiatives.  The Analyst serves as the in-house subject matter expert on HCC Risk Adjustment reviews, compilation of data, and producing related reports, critical to the connection between the health plan and providers/administrators in the network.  This position requires internal collaboration with provider network team and physician liaisons, including chart review, data compilation, and report production.  
Your Reward:  
This growing organization is committed to the health and happiness of all their staff. They offer a comprehensive benefits package to all full-time, permanent employees including annual bonus incentive program, tuition assistance, instant vesting 401(k) with dollar-for-dollar matching, transportation & parking benefits, 9 paid holidays, an annually increasing PTO program, with additional PTO offered through volunteer/community service program, as well as health, dental, vision, insurance, and much more!
Your Background: 
Formal education including a bachelor’s degree in a quantitative discipline such as Mathematics, Statistics, Actuarial Science or Economics is required.
Around of 2-5 years of experience analyzing healthcare claims / encounter data.
At least 1-3 years of administrative experience, preferably in a medical group or other managed care organization working with state-sponsored products.
Extensive experience with advanced analytic features of SQL, Access and Excel.
Experience in the implementation of effective health care policies, particularly in the areas of quality monitoring, medical appropriateness, and utilization of health care services.
Experienced with the various components of managed care.
Knowledge of STAR, HCC Risk Adjustment, HEDIS, CAHPS, NCQA, JCAHO, and other standardized certifications and quality measures.
Expertise with performance improvement principles and methods, systems thinking and how processes are linked.
Your Duties:

  • Partners with medical management to increase effectiveness of quality management programs and promotes integration of other internal medical programs. 
  • Provides material and reports that assists with educating network providers about quality documentation, coding and billing in regards to CMS HCC Risk Adjustment Model and Quality STAR measures.
  • In collaboration with the Medical Directors and the VP for Network Management, provides clinical and quality improvement expertise and leadership for the health network and for affiliated providers.
  • Serves as a partner and resource to internal staff responsible for liaising with provider groups regarding development and implementation of quality improvement programs, projects, data-sharing, and best practices; provides guidance and support for all quality projects.
  • Conducts chart review, compiles data, and distributes reports on trends and issues related to HCC Risk Adjustment Model & CMS STAR Initiatives, as well as other performance metrics, to improve provider health centers and other affiliated providers.
  • Utilizes chart reviews in order to support those engaged in enhancing provider knowledge and compliance.
  • Provides detailed reports to enhance educational opportunities’ and track provider progress.
  • Participates in creating and updating educational tools to be distributed to the network.
  • Works with leadership to develop strategic approaches to improve company performance and expand growth by optimizing provider network, evaluating provider contracts, and developing other creative approaches.

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