The Senior Overpayment Recovery Specialist assists the team with workflow coordination, inventory management, and the resolution of complex financial cases. The role also involves mentoring new employees, performing quality audits, and ensuring compliance with federal regulations and internal policies.
The Claims Examiner III investigates potential fraud, waste, and abuse within the Military Veteran Health program by analyzing medical records and utilization patterns. They also perform pre-payment and post-payment reviews to ensure medical necessity and compliance with program policies.
