Opl Examiner I

Job description

OPL Examiner I Work from home Within Oregon, Washington, Idaho or Utah Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Who We Are Looking For: Every day, Cambia's dedicated OPL Examiner I, are living our mission to make healthcare easier and lives better. As a member of Claims Operations Team, our OPL Examiner I is responsible to review claims routed to Other Party Liability (OPL) department for possible third party investigation, under the direction of the supervisor and manager, to determine the Company's course of action on intentional and unintentional injury and occupational injury claims by initiating the investigation of potential first and third party liability. Responsible to, review, sort and triage returned incident reports and correspondence in light of information received and claims history, and to release claims that are not third-party liability. Responsible to code claim system and tracking systems promptly and accurately with steps and findings about investigations initiated or closed as review is completed. Responsible for providing specialized technical and cost-effective support in the inve...