Working under close supervision with required assistance readily available, and following standard operating procedures and guidelines, performs the following tasks. Compiles and prepares supporting documentation for use by claim review attorneys in discovery/preparation of claims processing in system of record (CMS). Ensure all incoming correspondence reviewed for completeness ensuring file documents match claimant and Personally Identifiable Information (PII) compliance prior to CMS upload. Combine claimant documentation and ensure all relevant and supplemental documents, amendments and other transcripts via CMS document type are included in the file. Ensure all required document fields have been filled out by the claimant. Maintains case files, indexes, tracks, and controls electronic and hard copy case files for claim review attorney. Performs simple legal research via CPC tool, MML and CORA. Reviews PII Reports, Data Discrepancies and hard copy claim forms for relevance and privilege according to established guidelines, criteria and categories. Other examples of the types of work to be performed include collecting, compiling, and sorting documents to ensure a file is complete and free from PII. (File Request, SMO Correspondence, Appeal Transcripts, Hearing Exhibits)
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Job Type
Full-time
Career Level
Entry Level
Education Level
Associate degree