SENIOR CLAIMANT - Stockholm

Veritaz is a fast-growing IT-consultant firm. Our company is made up of insanely bright people from over 4 countries, and we are located in Sweden, UK, US and Pakistan. The voyage has been incredible this far, but it is only the beginning.
Assignment Description:
We are looking for a Senior Claimant to be responsible for the business regarding project development and project implementation for real estate and construction projects and have a staff responsibility for 18 employees. You will work closely with other business areas of the company.
What you'll do:
● Accomplish facets and Macess user including running reports.
● Manage day-to-day operations of claims department and provide general oversight and direction of all claims activity.
● Coordinate the maintenance of TPA payment type / code table conversions data.
● Process claims, generate checks, create reports and correspond with TPA clients.
● Review claims for correct billing information such as correct CPT codes, ICD code and patient information.
● Analyse, evaluate, and conduct statistical data reviews as required by CMS in accordance with ZPIC policies.
● Communicate with other departments with the division to ensure the proper adjudication of claims according to CMS and plan guidelines.
● Follow company and carrier procedures for documentation of claim appeals handling and investigation.
● Direct litigation in the areas of environmental liability, extra contractual claims, general liability, and medical malpractice.
Who you are:
● Demonstrates active listening skills through effective use of questions, reflection, and empathy.
● Possesses strong English vocabulary, basic grammar skills, and professional decorum.
● Experience preparing repair estimates in Xactimate (or another software package) and interpreting estimates using unit pricing.
● Demonstrates a bias toward exceptional customer service; experience providing customer service preferred.
● Strong organizational skills and the ability to multi-task in a fast-paced environment.