Scan-Group Reviews

Computer system at the time was awful. Looked like it came out of 1990s. Slowed everything down and files took easily 2-3 times longer than they would have with a better system. Because of this, unnecessary long hours were sometimes required.

Growth spurt makes for challenges for the outdated processes. Claims management could use great improvements in frequent and clear communication, regular competency assessments, training and consistent corrective action plans . Morale was low when I was there- partly perhaps due to cliques with some managers/supervisors. There is inconsistent understanding of basic claim terminology and definitions, i.e: contractual obligations, benefit classification, coding, appeals and related adjudication codes. My unit was not included in staff meetings- which can add confusion and delays in a production environment. Our team did not recieve timely responses from management for requests for direction or clarification. Multiple Emails for repetitive issues were not replied to.