Claims Operations Associate II- Policy Operations

Added
3 days ago
Type
Full time
Salary
Salary not provided

Related skills

compliance subrogation out_of_network_pricing fwa_research

๐Ÿ“‹ Description

  • Coordinate with OON negotiation partners and medical network partners
  • Triaging and actioning member gap exception requests
  • Resolve out-of-network pricing inquiries with pricing partner
  • Work with subrogation vendors and Client Success to resolve cases
  • Research member-identified FWA claims
  • Collaborate cross-functionally with Legal, Member Advocacy, and other teams to delight members

๐ŸŽฏ Requirements

  • Self-motivated, curious, and own your work
  • Extreme attention to detail
  • Good judgment handling sensitive matters
  • Critical thinking; willing to question status quo
  • Comfort with ambiguity; develop consistent policies
  • Excellent verbal and written communication; team player

๐ŸŽ Benefits

  • Hybrid position based out of Lehi office; in-office at least 3 days per week
  • Eligible for 10,000 stock options
  • Health insurance, 401k, and paid time off
  • Flexible work arrangements
  • Professional development through mentorship programs and courses
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