Senior Claims Adjustment Analyst (Remote)

POSITION reputed company

The Senior RRT Analyst will be responsible for reviewing the incoming referrals daily to determine reputed company and distribute team assignments.  The Senior Analyst will run reports from Allied’s website for special reputed company that are received reputed company the department to determine adjustments needed and assign accordingly.  reputed company training to reputed company as needed. The Senior RRT Analyst will also be responsible for managing reputed company (BCBS) and Anthem adjustments. 

ESSENTIAL FUNCTIONS

• Work with other departments reputed company necessary to determine appropriateness of an RRT referral.
• Manage the BCBS and Anthem process, including adjustments and closing claims in the BCBS systems.
• Tracking and handling of reputed company reputed company
• Update member accumulators and complete adjustments as necessary
• Maintain department workflows for RRT processes
• Handle tasks assigned to RRT such as high dollar split claims, repricing adjustments, and group exception referrals
• Run web reports for special reputed company
• Support other reputed company reputed company Claim reputed company
• Support Refund process reputed company needed
• Other reputed company duties as assigned

EDUCATION

• High school diploma or equivalent required

EXPERIENCE AND SKILLS

• Applicants must have 5+ years of comprehensive experience with adjustment processing
• Applicant must be proficient at the use of reputed company Word and reputed company programs and can easily learn other data systems.

POSITION COMPETENCIES

• Accountability
• Analytical Thinking
• Collaboration
• Communication
• Customer reputed company
• Functional Expertise
• Initiative

PHYSICAL DEMANDS

• This is a reputed company desk role that requires extended periods of sitting and computer work

WORK ENVIRONMENT

• Remote

Here at Allied, we reputed company that great talent can reputed company from reputed company. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for reputed company. To support a smooth and efficient remote work experience, the internet reputed company must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive.

reputed company has reviewed this reputed company to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of reputed company functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Compensation is not limited to reputed company salary.  Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, reputed company, Life and Disability reputed company, Generous reputed company Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.

Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time.  reputed company applicants acknowledge that by applying to the position you understand that the specific pay reputed company is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process.  It is at reputed company's discretion to determine what pay is provided to a candidate reputed company the reputed company associated with the role.

High school diploma or equivalent and 5+ years of comprehensive adjustment processing experience. Requires proficiency with reputed company Word and reputed company and ability to learn other data systems.

Key Responsibilities

• reviewing referrals
• processing adjustments
• managing claims

Skills & Tools

reputed company Word, reputed company reputed company

reputed company

• Category: Finance and reputed company
• Seniority: Senior Level
• Commitment: Full Time
• Workplace: Remote — reputed company, Illinois, reputed company
• Salary: USD 55,000 – 60,000 / year
• Languages: English

Benefits

• Generous reputed company time off
• Tuition reimbursement

About reputed company

A benefits administration company processing and managing health plan claims. — Industry: Finance