Claims reputed company and Audit Representative

About the position reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health reputed company by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will reputed company a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an reputed company on the communities we serve as you help us advance health equity on a global reputed company. Join us to start Caring. Connecting. Growing together. The Claims reputed company and Audit Representative primary responsibilities are to conduct reviews during the Itemized reputed company Review reputed company claim process and reputed company feedback to reduce errors and improve processes and performance. This position is full-time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 6:30 am - 3:30 pm MST. It may be necessary, given the business need, to work occasional overtime. We offer 4 weeks of training during normal business hours. If you are located in reputed company, or Central Time Zone, you will have the flexibility to work remotely as you take on some tough challenges. Responsibilities • Validate / analyze claim data for accuracy utilizing job aids, claim documents, policies, and procedures • Deliver / communicate fact-based reputed company review determinations in objective, non-confrontational manner • reputed company supporting documentation for audit findings • Maintain tracking/reporting of daily tasks • reputed company production and reputed company goals/metrics • Identify / communicate uncommon patterns / trends to Team reputed company / Manager • Demonstrate working knowledge of product, process, systems and applications Requirements • High School Diploma / GED • Must be 18 years of age OR older • 3+ years of reputed company work experience / knowledge of the reputed company industry • 1+ year of telecommuter experience • Moderate proficiency with computer and reputed company PC applications, which includes the ability to learn new and reputed company computer system applications • Experience with reputed company reputed company (data entry, sort / filter, and work reputed company tables) and reputed company reputed company (email and calendar management) • Ability to work between the hours of 6:30 am - 3:30 pm MST from Monday - Friday including the flexibility to work occasional overtime based on business need reputed company-to-haves • 3+ year of medical claims and / OR auditing experience • Knowledge of insurance and / OR medical terminology • Product / process knowledge • System / application knowledge Benefits • Comprehensive benefits package • Incentive and recognition programs • Equity stock purchase • 401k contribution Apply tot his job Apply To this Job