Claims Processor

Posted 28 days agoViewed
Arizona, Florida, Georgia, TexasFull-TimeHealth Insurance
Company:Oscar Health
Location:Arizona, Florida, Georgia, Texas
Languages:English
Seniority level:Entry, 1+ years
Experience:1+ years
Skills:
Microsoft ExcelAttention to detailComplianceData entry
Requirements:
1+ years previous work experience in claims processing 1+ years quantitative analysis skills demonstrated through the use of Excel or Google Sheets
Responsibilities:
Process incoming work associated with Claims operations following standard operating procedures. Develop an excellent grasp of the Administrative Operations system and overall workflows. Develop a comprehensive understanding of the current review processes that exist and additional processes needed to improve consistency and quality of review. Contribute to the reduction of the daily inventory. Form relationships with all partners. Take ownership of monitoring, tracking, and providing a status on the health of all work-in-progress issues. Manage the escalation and resolution process with external vendors to ensure appropriate turnaround times (where applicable). Contribute to team-wide goals that support the success of Claims Productions daily operations. Compliance with all applicable laws and regulations. Other responsibilities as assigned
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