• Provide resolution to identified overpayments utilizing various methods i.e., written correspondence, outbound call, or adjustment to a claim. • Research/adjust claims (i.e., Coordination of Benefits, no-fault, claim policy, authorizations, and referrals) in accordance with Plan contract provisions and all other governing policies and/or procedures. • Research and resolve Accounts Receivable (AR) issues to include the disposition of Cash Receipts in Universal Payment System (UPS). • Ensure accurate and timely resolution of service requests and activities is provided in accordance with the customer's health benefit coverage and company policy. • Anticipate and resolve potential issues and follow through on commitments made to the customers. • Coordinate with other areas within and outside of Service to address customers' inquiries regarding claim payment, benefits and/or appeals. • Follow up on unresolved issues via outbound calls, emails or faxes. • Share knowledge and information willingly with team members to achieve team, division, and Enterprise goals while enhancing service quality. • Submit provider file updates as appropriate. • Receive inbound telephone calls as they relate to recovery efforts. • Perform other related tasks as assigned by management.