Kelly Services AD07 - Claims Resolution Analyst in Louisville, Kentucky

Kelly Services has a Claims Resolustion Analyst opening at our client, one of the nation's leading health insurance providers, at their location in Louisville, KY.

We are looking for candidates with experience in Excel, Data Entry, customer service and analytical skills!

SUMMARY:

The Candidate is responsible coordinating the resolution of claims issues by actively researching and analyzing systems and processes that span across multiple operational area.

MAJOR JOB DUTIES AND RESPONSIBILITIES:

  • Investigates and facilitates the resolution of claims issues, including incorrectly paid claims, by working with multiple operational areas and health plans and analyzing the systems and processes involved in member enrollment, provider information management, benefits configuration and/or claims processing

  • Identifies the interdependencies of the resolution of claims errors on other activities within operations

*Assists in the reviews of state or federal complaints related to claim

*Coordinates the efforts of several internal departments to determine appropriate resolution of issues within strict timelines

*Interacts with network providers and health plans regularly to manage customer expectations, communicate risks and status updates, and ensure issues are fully resolved

*Performs claims and trend analysis, ensures supporting documentation is accurate and obtains necessary approvals to close out claims issues.

*Written and oral communication skills Strong ability to work independent Work under pressure and deadlines

Skills/Education

EducationRequired: Bachelors degree, or equivalent related experiencePreferred:Years and Type of ExperienceRequired: Three years of claims research and/or issue resolution or analysis of reimbursement methodologies within the health care industry.

Important information: This position is recruited for by a remote Kelly office, not your local Kelly branch. Please submit your resume to be considered for this position. If you have questions about the opening, you may contact the recruiter for this position at vicenhe@kellyservices.com.

Why Kelly®?At Kelly Services®, we work with the best. Our clients include 95 of the Fortune 100™ companies, and more than 70,000 hiring managers rely on Kelly annually to access the best talent to drive their business forward. If you only make one career connection today, connect with Kelly.

About

Kelly Services®

As a workforce advocate for over 70 years, we are proud to directly employ nearly 500,000 people around the world and have a role in connecting thousands more with work through our global network of talent suppliers and partners. Revenue in 2016 was $5.3 billion. Visit kellyservices.com and connect with us on Facebook, LinkedIn and Twitter.

Kelly Services is an equal opportunity employer including, but not limited to, Minorities, Females, Individuals with Disabilities, Protected Veterans, Sexual Orientation, Gender Identity and is committed to employing a diverse workforce. Equal Employment Opportunity is The Law.]]

Category: Medical/Health