Claims Liaison Coordinator

The Claims Liaison Coordinator serves as the primary liaison for complex escalated claim inquiries, researching and resolving discrepancies, denials, and payment issues within established service-level agreements. The role involves performing root-cause analysis of claim errors, compiling findings for leadership, and tracking trends to address financial impact and compliance risks. This position requires effective communication with providers, members, and internal stakeholders to ensure accurate claim adjudication and process improvement.