HC & Insurance Operations Associate

Positions General Duties and Tasks :

• Process Insurance Claims timely and qualitatively Meet & Exceed Production, Productivity and Quality goals
• Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities
• Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing
• Be a team player and work seamlessly with other team members on meeting customer goals

Requirements for this role include :

Requirements for this role include :

Skills Required

Word Processing, Ms Office Applications, Reading Comprehension, Data Entry, Analytic Skills