Blue Shield's provider networks are among the largest in California, making it likely that your doctor and any specialists you need are already in our network. Find an Access+ HMO Network Provider. How to find a Personal Physician (Primary Care Physician): Search for a physician (above) and you will be directed to a new page. Then, select Advanced Search and type HMO Personal Physician in the box under Doctor Type or Specialty.
Job Duties of an Insurance Claims Specialist. An insurance claims specialist or claims examiner is responsible for reviewing insurance claims after they are submitted to make sure that proper filing procedures have been followed. Claims specialists may also assist insurance adjusters with complicated or unusual claims.
A loss adjusterâs job is to do the adjusting of a claim â and this is almost inevitably downwards. They are paid by the insurer to decide what will be paid for â and what will not. An independent loss assessor such as Morgan Clark will take on all this responsibility for you.