Allied Benefit Systems · 2 days ago

Product Operations Liaison

United States

Full-time

Remote

Entry Level

1+ years exp

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Responsibilities

Facilitate the High Dollar Claim review process by acting as the primary contact for internal and external claim teams, clients and vendors. Owns audit processes for the High Dollar Claim process for claims $20K to $30K

Facilitates the CHS claim processes by acting as the primary contact for internal and external claim teams. This includes the Core Value claim processes coordinated through CHS.

Executes effective resolutions on claim issues and ensures that the appropriate Allied teams are informed, handles claim escalations and sees through to completion.

Processes fee claims for Case Management, Enhanced Case Management, HRA Pharmacy claims and various other vendor fee.

Demonstrates strength and understanding of all workflows and business processes to execute the overall service strategy for BPO Clients.

Fosters a sense of urgency and commitment to achieve goals resulting in the ability to influence the organization to meet and exceed customer expectations.

Will own responsibility for and facilitate communications as stated above, handle escalations and oversee assist in various ad hoc projects as assigned.

Perform other duties as assigned.

Qualification

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1-3 years experience in administrativeData entry roleProficient in Microsoft Office SuiteVerbal communicationWritten communicationOrganizational skillsAttention to detailTime managementAnalytical skillsProblem-solving prioritize tasks delegate tasks work under pressureGroup Health InsuranceMedical Claims