[Hiring] Claims Analyst III @Modivcare

Role Description

Are you passionate about making a difference in people's lives? Do you enjoy working in a service-oriented industry? If so, this opportunity may be the right fit for you!

This position is responsible for implementing claims processes to maximize effectiveness and accuracy. This includes auditing the accuracy of claims information entered in the system and monitoring the operation of the claims systems. In addition, develops solutions to claims issues and works with systems design to implement new features.

You will...

• Review claims for irregularities, accuracy, and completeness.
• Request additional information, where necessary, for completion of claim processing.
• Coordinate and process documentation, invoice dispute resolution, and payment for accounts.
• Perform account analysis and research payment and account discrepancies.
• Identify and verify transactions and expedite a resolution of various claims issues.
• Handle complex issues and problems, referring only the most complex issues to higher-level staff.
• Possess comprehensive knowledge of subject matter.
• Provide leadership, coaching, and/or mentoring to more junior team members.
• Participate in other projects or duties as assigned.

Qualifications

• Bachelor's Degree required.
• Five (5) plus years of experience or equivalent combination of education and/or experience.
• Strong understanding of claims processing and ability to make informed decisions on claim eligibility.
• Excellent attention to detail and proficient data entry skills for accurate claim processing.
• Intermediate proficiency of Microsoft applications (Word, Excel, and Outlook).
• Analytical mindset with the ability to interpret claim data and follow established guidelines.
• Excellent verbal and written communication skills to interact with a superior customer-focused demeanor.
• Problem-solving abilities to address claim issues and resolve discrepancies.
• Ability to work independently and as a member of a team.
• Ability to accurately type 35 words per minute and use of 10-key.

Requirements

• Salary: $60,800-$80,000
• The physical demands described are representative of those that must be met by an employee to successfully perform the essential functions of the position.
• Primarily seated work; extensive computer and telephone use; occasional standing, walking, reaching, bending, and lifting up to 10 lbs.

Benefits

• Medical, Dental, and Vision insurance
• Employer Paid Basic Life Insurance and AD&D
• Voluntary Life Insurance (Employee/Spouse/Child)
• Health Care and Dependent Care Flexible Spending Accounts
• Pre-Tax and Post-Tax Commuter and Parking Benefits
• 401(k) Retirement Savings Plan with Company Match
• Paid Time Off
• Paid Parental Leave
• Short-Term and Long-Term Disability
• Tuition Reimbursement
• Employee Discounts (retail, hotel, food, restaurants, car rental, and much more!)

Company Description

Modivcare is an Equal Opportunity Employer.

EEO is The Law - click here for more information.

We consider all applicants for employment without regard to race, color, religion, sex, sexual orientation, national origin, age, handicap or disability, or status as a Vietnam-era or special disabled veteran in accordance with federal law.

If you need assistance, please reach out to us at [email protected].