InsuranceHealthcare Representative - Hewlett Packard Enterprise - Tucker, GA

InsuranceHealthcare Representative - Hewlett Packard Enterprise - Tucker, GA -

Insurance coverage/Healthcare Representative-1578114
Description
Job Description: The Insurance coverage/Healthcare job household accommodates positions related to offering consultancy using information and experience on insurance and healthcare. Develops and implements common insurance and well being insurance policies in accordance with state and federal legal guidelines. Offers experience to research and adjudicate declare traits that don’t match coverage provisions. Responds to supplier appeals and meets with suppliers to resolve issues/points. Supplies instructions for utilization assessment. Approves any remedial or recoupment actions related to escalated claims. Advises supplier evaluate councils, state officers and works with organized healthcare teams and associations on numerous medical points associated to insurance and healthcare packages. Duties:
Participates productively as member of staff, probably in a group lead position.
Completes complicated duties, assignments and outlined processes with some degree of independence.
A number of assignments labored and accomplished concurrently as directed by management.
Identifies, prioritizes and resolves most questions and points independently. Solutions questions of friends. Escalates extra complicated questions or points appropriately.
Complies with contract necessities, enterprise unit guidelines and associated business and authorized laws

Qualifications

Schooling and Expertise:
Excessive Faculty Diploma or equal; might maintain 2 yr publish-highschool Diploma; might maintain Bachelor’s diploma.
Sometimes, 2-four years of working expertise in associated fields.

Information and Expertise:
Workplace administrative expertise and expertise.
Capacity to comply with written insurance policies, procedures and tips, and provides suggestions to management.
Intermediate-degree information of working methods.
Self-motivated with good time management and organizational expertise.
Potential to learn and interpret primary to reasonably complicated paperwork akin to working and upkeep directions, process manuals, and authorities/healthcare tips.
Wonderful written and verbal communication expertise and customer support expertise, together with skilled phone expertise.

Job – Providers Main Location – United States-Georgia-Tucker Schedule – Full-time Shift – Day Job Journey – No Job Posting – Sep 1, 2016 EEO Tagline Hewlett Packard Enterprise is EEO F/M/Protected Veteran/ Particular person with Disabilities

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