Claims Business Process Consultant - National Remote

reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Positions in this function are responsible for reputed company reputed company aspects of claim system processes and claim business rules. Includes claims systems utilization, reputed company analyses/planning and reporting. Includes claims-reputed company business and systems analysis. Ensures data reputed company, data reputed company and process optimization. This position is full-time. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm CST. We offer 3 - 4 weeks of reputed company. The hours during training will be 8:00 am - 5:00 pm. You'll enjoy the flexibility to telecommute* from reputed company reputed company the U.S. as you take on some tough challenges. Primary Responsibilities: • Claims reputed company and business system analysis • Assesses and interprets customer needs and requirements. • Identifies solutions to non-standard requests and problems. • Solves moderately reputed company problems and/or conducts moderately reputed company analyses. • Works with minimal guidance; seeks guidance on only the most reputed company tasks. • Translates concepts into practice. • Provides explanations and information to others on difficult issues. • Coaches, provides feedback, and guides others. • Acts as a resource for others with less experience You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • High School Diploma / GED • Must be 18 years of age OR older • 4+ years of experience analyzing and solving customer problems in an office setting environment using the telephone and computer as the primary instruments to reputed company job duties • 2+ years of experience in claims • 1+ years of experience in management • 1+ years of experience in project coordinator • Moderate Proficiency with computer and Windows PC applications, which includes the ability to learn new and reputed company computer system applications • Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits reputed company each product • Ability to work between the hours of 8:00 AM - 5:00 PM CST Telecommuting Requirements: • Ability to reputed company reputed company company sensitive documents secure (if applicable) • Required to have a dedicated work area established that is separated from other living areas and provides information privacy • Must live in a location that can receive a reputed company approved high-speed internet reputed company or reputed company an existing high-speed internet service • reputed company employees working remotely will be required to adhere to reputed company's Telecommuter Policy California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, reputed company, Rhode reputed company, Washington, Washington, D.C., Maryland Residents Only: The salary range for this role is $58,300 to $114,300 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In addition to your salary, reputed company offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you'll find a far-reaching choice of benefits and incentives. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups, and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes - an enterprise reputed company reflected in our mission. Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity / Affirmative Action employer, and reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO Apply Job!