What are the responsibilities and job description for the Claims Specialist position at Genesis10?
Title: Claims Specialist
Location: 906 Adobe St, Los Angeles, CA 90012 (Onsite)
Duration: 04-08weeks contract
Job Summary:
Responsible for reviewing, analyzing, and optimizing Fraud, Waste, and Abuse (FWA) case dispositions for client. The role focuses on improving case accuracy, prioritizing open investigations, and developing a roadmap to resolve backlog and strengthen case management processes.
Key Responsibilities:
Location: 906 Adobe St, Los Angeles, CA 90012 (Onsite)
Duration: 04-08weeks contract
Job Summary:
Responsible for reviewing, analyzing, and optimizing Fraud, Waste, and Abuse (FWA) case dispositions for client. The role focuses on improving case accuracy, prioritizing open investigations, and developing a roadmap to resolve backlog and strengthen case management processes.
Key Responsibilities:
- Review and assess FWA case files, documentation, and disposition rationale.
- Identify discrepancies, misclassifications, and process gaps.
- Recommend updated dispositions and categorize cases by severity and risk.
- Prioritize open and unresolved cases using defined risk and impact criteria.
- Develop a phased roadmap to address backlog and enhance future case workflows.
- Prepare detailed reports and executive summaries with key insights and recommendations.
Genesis10 is an Equal Opportunity Employer/Minorities/Female/Disabled/Veteran