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Employment with MOHELA - Job Detail
Claims Review Auditor(Internal Candidates Only) - Grade 12 - Closing Date - 11/09/09
Responsibilities
1. Claims Submission – Following multiple established procedures, research, prepare and submit education loan claims for payment to numerous guaranty agencies in a timely manner to prevent the loss of principal and interest 2. Communication - In a professional, courteous and timely manner, contact necessary external parties in order to obtain needed documentation for claim submission and answer inquiries from external entities. Professionally communicate with borrowers, attorneys, bankruptcy courts, doctors, funeral homes and family members of deceased borrowers when requesting proper documentation of unique claims. 3. Unique Claims – For bankruptcy action, follow the established bankruptcy procedures. Prepare and file claims as required by each guarantor. Update MOHELA systems and track to the conclusion within the established timelines. Research, prepare and submit death, disability claims and other specialty claims with the clear understanding of the sensitive and immediate nature of these types of claims. Assure the proper stoppage of government interest and refund of payments to the borrower or estate. 4. Supplemental Claims - Research and identify cause for denied portion of claim payment, take appropriate action and resubmit claim to guaranty agency within specified time frame. Request account adjustments and charge offs as needed. 5. Queues - Process many time sensitive queues within our servicing system and update accounts accurately. 6. Customer Service Calls- Ability to provide back up to answer a minimal amount of general customer service calls.
Requirements
• High school diploma or GED with one or more years of post-secondary education preferred • One year office experience where utilizing research and analytical skills were needed • Self motivated and good organizational skills • Must be able to comprehend federal regulations and guarantor policies which often vary in interpretation. • Excellent research skills • Knowledge of MOHELA’s computer systems, especially COMPASS system
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