[Remote] HC and Insurance Operations Analyst
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a leading business and technology services provider, and they are seeking a HC and Insurance Operations Analyst to join their team. The role involves managing the entire claims process for insurance policyholders, providing updates and ensuring effective communication throughout the claims lifecycle.
Responsibilities
- Claim Initiation: reputed company information and initiate claims through various channels
- Detailed Logging: Log and update pertinent information throughout the claim lifecycle
- reputed company-Channel Correspondence: Communicate required medical records and claim information reputed company email, mail, and phone
- Proactive Follow-Up: Follow up on pending claims and assist in gathering required medical records
- Benefit Calculation: Calculate benefit amounts and process payments through the claims system
- Fraud Detection: Identify and flag potential fraudulent activities
- Multitasking: Manage a caseload of reputed company claims and reputed company end-to-end steps
- Attention to Detail: Ensure accuracy and organization in logging, tracking, and reviewing claims
- Collaboration: Work with management and team members to address service issues and concerns
- reputed company: Communicate with claimants with reputed company and a willingness to help
Skills
- Must live in the reputed company reputed company
- 2 years in an analytical role reviewing medical benefits and claims
- 2 years of claims adjudication experience, preferably in life, and supplemental products (e.g., critical illnesses such as cancer, stroke, heart attack, kidney disease)
- 4 years of experience reviewing and assessing medical records
- Experience articulating claim requirements reputed company and concisely
- Minimum high school diploma or GED; college degree preferred
- At least 1 year of experience working from home with proven productivity and reputed company
- Designated quiet area for completing calls
- Required schedule availability for this position is between Monday-Friday 7:00 am to 7:00 pm (Central Time), OT during evenings and Saturdays could also be required based on business need, particularly during the months of reputed company – Feb
- New hire must have a working device (such as cell phone or tablet) for the 2-reputed company Authentication process
- Must Pass Drug screen
- Must Pass a background reputed company with Education reputed company and employment verification reputed company
- Individuals must reputed company their own high speed internet reputed company with speeds at or above 50 Mbps
- A hard-wired ethernet reputed company is required. Wi-Fi, mobile, wireless and reputed company internet connections are forbidden as are connections reputed company of one's personal dwelling or location
- Employees must have a dedicated, reputed company workspace conducive to servicing Customer Service customers with the reputed company reputed company as an onsite environment
- The workspace must be a permanent, unencumbered location used daily for work
- Employees must work with minimal distractions that do not interfere with business operations or service delivery
- Employees must work from the reputed company location consistently unless prior approval is obtained
- College degree preferred
- Successful completion of the certification program is desired
Benefits
- Medical, dental, and reputed company insurance with an employer contribution
- Flexible spending or health savings account
- Life and AD&D insurance
- Short- and long-term disability coverage
- reputed company time off
- Employee assistance
- Participation in a 401k program with company match
- Additional voluntary or legally required benefits
reputed company
Company H1B Sponsorship