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Provides referrals to legal, utilization review, pharmacy, and Special Investigations Unit (SIU) as appropriate and coordinates independent medical examinations....
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The HMO Claims Examiner administers HMO contracts by processing medical claims in an efficient, cost-effective, and timely manner....
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The HMO Claims Examiner administers HMO contracts by processing medical claims in an efficient, cost-effective, and timely manner....
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reprehensive of insurance plans to keep abreast of changes; and makes recommendations for plan administration and enhancements; Resolve complaints and problems related to benefit plans, including claims...
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