Claims Operations Associate II - Claims Performance Resolution
Claims Operations Associate II - Claims Performance Resolution
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Job Description
At Collective Health were transforming how employers and their people engage with their health benefits by seamlessly integrating cuttingedge technology compassionate service and worldclass user experience design.
As part of the Services Ops team within Customer Experience the Claim Operations team will own processes that require close collaboration with finance legal product and other internal teams. The Claims Operations Claims Performance and Resolution team ensures our production systems are working accurately and partners with our Product team to resolve issues that arise. As a member of the team youll work on claims systems issues Ingenuity testing and development.
What youll do:
- Support the of the daytoday operations of our medical plans.
- Identify areas of 835 improvement in order to limit return file errors
- Triage & troubleshoot claims related issues (file ingestion data sync etc)
- Support System functionality
- Apply a scalability lens to several key areas in Claim Operations Ingenuity development Claims Response Unit (CRU) Systems Health and more
- Assist in the development of our internal claims engine Ingenuity
- Assist in developing claim Pend rule criteria Pend rule testing scenarios and monitoring Pend rule performance within Ingenuity
- Identify and lead quality/process improvement projects within Claim Operations and across Service Ops/CX
- Build (and/or work with the development team to build) internal tools to improve processes as we identify and fix problems
- Collaborate crossfunctionally with various internal teams.
To be successful in this role you:
- Are selfmotivated intellectually curious and take ownership for everything you do
- Have working knowledge of claims workflows and associated systems
- Pay extreme attention to detail and enjoy connecting the dots & communicating complexities
- Are excited about reimagining how we structure our body of work to align with the new service design
- Are a strong performer within your current role
- Thrive on change and are enthusiastic about being along for the ride and learning from our experiences together
- Possess a passion for Collective Healths mission to transform the health insurance experience for employers and their employees
Pay Transparency Statement
This is a hybrid position based out of our Lehi office with the expectation of being in office at least two weekdays per week. #LIhybrid
The actual pay rate offered within the range will depend on factors including geographic location qualifications experience and internal equity. In addition to the hourly rate you will be eligible for stock options and benefits like health insurance 401k and paid time off. Learn more about our benefits at UT Pay Range
Why Join Us
- Missiondriven culture that values innovation collaboration and a commitment to excellence in healthcare
- Impactful projects that shape the future of our organization
- Opportunities for professional development through internal mobility opportunities mentorship programs and courses tailored to your interests
- Flexible work arrangements and a supportive worklife balance
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race religion color national origin gender sexual orientation age marital status veteran status or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance please contact .
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IC
Employment Type
Full Time
