Medical Claims Specialist
6 days ago
Our Company Culture:
We pride ourselves on being a diverse and inclusive organization that values teamwork, innovation, and continuous learning. Our employees are passionate about making a difference in the lives of our customers and communities.
We offer a range of benefits and programs to support our employees' physical, emotional, and financial well-being, including health insurance, retirement plans, and employee assistance programs.
What You'll Do:
- Develop and implement strategies to detect and prevent Medical Claims Fraud, Waste and Abuse (FWA).
- Collaborate with cross-functional teams to improve operational efficiency and drive business growth.
- Conduct regular reviews of underwriting guidelines to ensure relevance, competitiveness, and operational efficiency.
- Provide training and development opportunities to enhance the skills and knowledge of claims assessors.
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