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Claims Analyst @ AArete

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 Claims Analyst

Job Description

- Ensure timely and accurate investigations are conducted to validate overpayments.
- Conduct investigations into complex overpayment claims.
- Develop and implement policies and procedures to enhance the overpayment process.
- Provide leadership and mentorship to claimsstaff.
- Analyze complex overpayment cases, including reviewing data, identifying discrepancies and
determining appropriate recovery actions.
- Partner with other departmentsto achieve company goals and objectives.
- Collaborate with onshore leadership to align offshore team operations with strategic
objectives, ensuring seamless execution of payment integrity initiatives.
Claims Analyst Qualifications & Skills:
- Masters degree in business administration or bacheloru2019s degree in a related field.
- 2+ years of experience in claims management with US Health care domain.
- Excellent communication and interpersonalskills.
- Strong analytical and problem-solving skills.
- Ability to work effectively in a fast-paced and dynamic environment.
- Familiarity with insurance industry regulations and standards.

Job Classification

Industry: Management Consulting
Functional Area / Department: Customer Success, Service & Operations
Role Category: Operations Support
Role: Operations Support - Other
Employement Type: Full time

Contact Details:

Company: AArete
Location(s): Pune

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Keyskills:   Business administration Team operations Claims Analyst Analytical Healthcare Management US healthcare

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AArete

AArete (quot;uh-reetquot;) is a global management consulting firm driving client value through strategic profitability improvement, data-driven solutions and market intelligence. We work across all industries and business functions to optimize profits in a compressed timeframe. AArete humanizes data...