The Senior Claims Analyst is responsible for the accurate adjudication and processing of medical, dental, and vision claims while serving as a liaison for internal departments. They also analyze claim information to make benefit determinations and provide guidance to team members regarding processing procedures.
The Technical Eligibility Analyst is responsible for managing eligibility processes in a fast-paced, production-driven environment. They must ensure high attention to detail while collaborating with providers, clients, and internal management to resolve complex issues.
The Customer Service Representative will resolve customer issues accurately while navigating multiple systems and providing service excellence. They are responsible for maintaining high standards of communication and efficiency in a fast-paced, structured environment.
The Claims Corrections Analyst is responsible for processing system claims corrections, including voids, history adjustments, stop payments, and refunds. This role requires maintaining high accuracy and efficiency within a fast-paced, customer-service-driven environment.
The COBRA Analyst oversees all aspects of the client and member experience, including benefit elections, payments, and reporting for COBRA, FMLA, and leave programs. This role involves managing inbound and outbound communications via phone, email, and fax with clients, members, and third-party affiliates.
The Strategic Reporting Consultant defines and executes the end-to-end reporting strategy across all lines of business to ensure data accuracy and alignment with business objectives. This role acts as a strategic advisor to leadership and clients, translating complex data into actionable insights while leading cross-functional teams to deliver high-value reporting roadmaps.
The Senior Claims Analyst is responsible for the accurate adjudication and processing of medical, dental, and vision claims while serving as a liaison for internal departments. They also analyze life and disability information to make benefit determinations and provide guidance to team members regarding processing procedures.
The Sr. Reinsurance Administrator is responsible for the accurate and timely filing of excess risk claims and handling complex stop-loss claim situations. They also assist with reporting initiatives, testing, and training new reinsurance analysts.
The Intake Coordinator is responsible for accurately and respectfully triaging inquiries from members, providers, and clients via phone, email, and electronic systems. They handle various tasks including pre-certification requests, benefit verification, and status updates while maintaining high service standards.
Provide quality service by responding to high-volume telephonic, written, and electronic inquiries regarding benefits, eligibility, and claim status. Accurately document all actions and navigate multiple system applications to resolve member and provider issues.
Responsible for the accurate filing of excess risk medical claims and coordinating with stop loss carriers for reimbursements. The role involves managing appeals, distributing reports, and notifying stakeholders when claimants reach specific deductible thresholds.
