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Responsibilities

• File documents and mail in legal files.
• Open, date, and sort legal mail.
• Send initial and follow-up forms in compliance with applicable regulations.
• Set up new claims in a timely manner.
• Index and route mail, including document typing and setting task descriptions.
• Make inquiries to obtain additional information needed for job responsibilities.
• Complete and maintain mailing logs in a timely manner.
• Support the timely delivery of mail and files to claims professionals.
• Obtain and follow up for W9s, and keep, preserve, and organize returned W9s.
• Copy files.
• Perform Fee Schedule NF billing, including generation of EOBs.
• Maintain records and provide information for production reports.
• Assist in the check request and preparation process.
• Assist in the preparation of denials and delays.
• Assist in preparing files for IME or Peer Review for the vendor.
• Assist in identified initiatives or projects.
• Assist in the closing of files.
• Make telephone contacts with claimants and providers.
• Facilitate the generation of pay requests.
• Facilitate referrals for TOA investigations.

Requirements

• Basic but evolving knowledge of applicable No Fault claims and applicable regulations and litigation.