Analyst pricing NPL portfolios at EOS Group. Collaborating on analytical forecasts and projects across various countries with a motivated and international team.
About the role
- Financial Operations Recovery Specialist responsible for claims overpayments at Elevance Health. Ensures customer satisfaction and performs audits and recovery activities efficiently.
Responsibilities
- responsible for the discovery, validation, recovery, and adjustments of claims overpayments
- Audits paid claims for overpayments using various techniques including systems-based queries, specialized reporting, or other research
- Interacts with staff and management from other departments on a regular basis to ensure customer satisfaction
- May work with recovery and collection vendors to validate overpayments, validate vendor invoices and provide feedback to modify queries when needed
- Works closely with contract managers to identify and correct contractual issues
- Handles complex case research and resolution
- May perform collection activities to ensure the recovery of overpayments and maintenance of unprocessed cash and accounts receivable processes
- May review and monitor associates work for quality standards
- May review department policy and procedure manuals for accuracy
- Completes special projects as assigned with minimal supervision
- Researches voluntary refunds for accuracy
Requirements
- Requires a H.S. diploma or equivalent
- minimum of 4 years of claims processing and/or customer service experience
- Strong medical claims processing experience highly preferred
- Proficient in Microsoft Excel preferred
- AA/AS preferred
Benefits
- merit increases
- paid holidays
- Paid Time Off
- incentive bonus programs
- medical benefits
- dental benefits
- vision benefits
- short and long term disability benefits
- 401(k) + match
- stock purchase plan
- life insurance
- wellness programs
- financial education resources
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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