Claims Process & Policy Professional

HumanPanorama

$53,700 - $72,600 py; not specified; competitive b...
Hybrid
Tricare rules and regulations
Root cause identification
Claims research and impact analysis
You will ensure appropriate identification of root cause through established intake process

Job Summary

  • You will ensure appropriate identification of root cause through established intake process.
  • You will perform claims research to determine impact to reported issues.
  • You will identify improvement opportunities based on analysis performed.

Matching Summary

You will ensure appropriate identification of root cause through established intake process.

Salary

$53,700 - $72,600 per year; Not specified; Competitive benefits

Skills & Requirements

Must-have

  • TRICARE rules and regulations
  • Root cause identification
  • Claims research and impact analysis
  • Improvement opportunity identification
  • Customer inquiry assistance

Nice-to-have

  • Caring community environment
  • Continuous knowledge growth
  • Peer group assistance

Key Requirements

  • 3 years experience with TRICARE contract
  • 3 years experience analyzing data
  • Experience presenting data findings to leadership
  • Experience providing clear written responses
  • Must be able to work 8 - 5 p.m. ET
  • U.S. Citizenship required
  • Interim government security clearance

Work Rights

Must have US citizenship

Tailored Resume

Cover Letter