The Claims Examiner is responsible for reviewing, evaluating, and processing health, drug, and dental claims to ensure accuracy and compliance with policy terms. They must investigate complex claim issues and maintain detailed records while meeting performance targets for speed and quality.
The Lead Developer is responsible for designing, developing, and deploying secure, scalable applications while maintaining existing systems for performance and reliability. They will collaborate within an Agile/Scrum team to translate business requirements into technical solutions and provide subject matter expertise.
The Senior Strategic Sourcing Specialist mentors team members and leads strategic sourcing objectives, including contract negotiations and supplier relationship management. This role analyzes procurement data to identify cost-saving opportunities and collaborates with cross-functional teams to optimize value and service.
The specialist manages underwriting databases, extracts and integrates data, and develops reports and dashboards to support business decisions. They also construct automation tools and serve as a subject matter expert to improve underwriting workflow efficiency.
The representative provides world-class customer service by resolving complex inquiries from members, employers, and providers regarding benefits, claims, and coverage. They are responsible for researching and responding to inquiries via telephone, email, and written correspondence while collaborating with internal teams to find solutions.
