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PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.
Diversity and Inclusion: PacificSource values the diversity of the people we hire and serve. We are committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.
Position Overview: Review claims and information received via telephone or a medical service questionnaire for possible other party liability. Determine coverage based on contract, provider status, and claims processing guidelines and accurately process according to benefit and policy provisions applicable to fully-insured group/individuals and self-funded clients. Research, document, and follow up on all motor vehicle, on-the-job, on-the-premises, or other third party liability cases. Provide customer service assistance to members involved in third party cases. Responsible for accurate tracking of monies owed to PacificSource to ensure prompt reimbursement, as well as reporting savings for third party cases. When applicable, procure appropriate subrogation or loan agreements.
Essential Responsibilities:
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