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Himalayas

Consumer Service Operations Professional 2

United StatesPosted about 4 hours agoVerified 3 minutes ago

About This Gig

Become a part of our caring community You will perform analysis by reviewing claims payments, policies, procedures and determine root cause for issues. You will need a strong knowledge of claims and how to apply policy to claims processing accuracy. You may assist with benchmarking, business process analysis, claims processing, testing updates and claims quality audits. You will report to a Manager of Business Intelligence. Accountabilities - Ensure the appropriate identification of root cause through established intake process. Performs claim analysis and summarize results with detail at the individual level and determine impacts. Identifies improvement opportunities based on analysis. Acts as a claims subject matter expert. Use your skills to make an impact Required Qualifications Our Department of Defense Contract requires U.S. citizenship for this position Successfully receive interim approval for government security clearance (NBIS - National Background Investigation Service) HGB

Skills & Tags

Customer Service Claims Processing Claims Analysis Healthcare Operations Customer Service Managed Care

About the Seller

Humana International Group

on Himalayas

Pricing available on Himalayas

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