Hybrid Overpayment Recovery Analyst

Posted last week

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About the role

  • Track, calculate and pursue overpayments identified within Stop Loss department
  • Research files and understand claims, type of overpayment, overpayment resolution options
  • Follow up on overpayment requests with Administrator, Claim Analyst, Broker, both internal and external customers
  • Provide monthly current recovery reports (analysis, trending, actions, status)
  • Receive escheatment report, investigate customer data and provide data to banking for potential stop pay/re-issue of checks

Requirements

  • 5+ years understanding of first dollar stop loss claims or medical claims
  • Requires expert level understanding of the Stop Loss claims process or Medical Claims with respect to how overpayments are determined
  • Prior experience in medical or Stop Loss claim adjudication
  • Proficient in Excel with advanced skills, including complex formula construction, pivot table manipulation, Vlookup, queries creation
  • Adept knowledge in navigating and utilizing SharePoint features at an intermediate level, including document management, tracker creation, and basic site administration
  • Strong understanding of business and relationship building with external customers
  • Highly skilled verbal and written communication skills.

Benefits

  • Generous vacation and sick time
  • Market-leading paid family, parental and adoption leave
  • Medical coverage
  • Company paid life and AD&D insurance
  • Disability programs
  • Partially paid sabbatical program
  • 401(k) employer match
  • Stock purchase options
  • Employer-funded retirement account
  • Flexible, inclusive and collaborative work environment

Job title

Overpayment Recovery Analyst

Job type

Experience level

Mid levelSenior

Salary

$68,200 - $102,300 per year

Degree requirement

No Education Requirement

Location requirements

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