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Company

Markel · 5 hours ago

Claims Compliance Analyst (Medicare)

Remote USA

Full-time

Remote

Mid Level

$50K/yr - $69K/yr

3+ years exp

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No H1B

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Responsibilities

Cultivate and maintain relationships with internal and external customers.

Gather, analyze, and distribute compliance information to meet the needs of business partners and facilitate appropriate outcomes.

Maintain a thorough understanding of Claims and Claims Compliance departmental service standards, guidelines, systems, workflows, reports, forms, products, and other relevant information necessary for work assignments.

Complete assigned daily compliance support activities accurately and in a timely manner.

Contribute assistance that enhances and enables the achievement of compliance objectives by demonstrating teamwork and collaboration to elevate partner and customer service.

Seek opportunities to improve compliance with state and federal laws and regulations.

Analyze and understand the implications of the business environment, including compliance processes.

Assist with the development and delivery of compliance training.

Analyze various aspects of business activities, including manual and automated compliance processes, and create data import files for compliance processes.

Provide analytical support for various compliance reporting activities.

Create compliance reports to fulfill user requests, conduct data sampling, project analysis, or verify testing results.

Stay abreast of changes in compliance procedures and identify and communicate compliance process enhancement opportunities to management.

Lead or assist with departmental and organizational projects.

Qualification

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Claims compliance analysisInsurance analyticsClaims handling processesProcess analysisQuality AssuranceAuditingProject managementInsurance certificationsMicrosoft OfficeClient service commitment

Required

3-5 years of experience in a related role

Experience with claims handling processes and systems a must

Excellent analytical and problem-solving skills

Excellent written, listening, and oral communication skills; ability to communicate technical information in a business-friendly manner

Strong desire for continuous improvement

Ability to ask probing questions to understand root causes of issues

Attention to detail and focused on accuracy

Excellent collaborative skills and facilitation skills to drive issues to closure

Strong organization and time leadership skills

Intermediate skills in Microsoft Office products

Ability to contribute both independently and as part of a team

Able to work in diverse teams, under tight deadlines, to deliver quality work for clients

Commitment to delivering excellent client service

US Work Authorization required. Markel does not provide visa sponsorship for this position, now or in the future.

Preferred

Insurance certifications or affiliation with industry group a plus

Experience creating and understanding insurance analytics highly desirable

Experienced practitioner of process analysis and modelling a plus

Experience in workers’ compensation claims highly desirable

Experience with project management, Quality Assurance, auditing, and a plus

Benefits

We offer competitive benefit programs that help meet our diverse and changing environment as well as support our employees’ needs at all stages of life.

All full-time employees have the option to select from multiple health, dental and vision insurance plan options and optional life, disability, and AD&D insurance.

We also offer a 401(k) with employer match contributions, an Employee Stock Purchase Plan, PTO, corporate holidays and floating holidays, parental leave.

Markel offers hybrid working schedules of 3 days in the office and 2 days remote.