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Reinsurance Claims Analyst: Managed Care
at Aon in Pennsylvania
Aon is a global leader in risk management, insurance and reinsurance brokerage, human capital and management consulting, and outsourcing with more than 43,000 employees in 500 offices in more than 120 countries. We integrate customized services, leverage expertise across industries and apply business knowledge to our clients' strategic goals.
Aon helps clients anticipate how change intersects with opportunity. Each of our clients has unique business needs, so we have developed expertise for a complete range of business processes, products and industries. Aon’s account and relationship managers form We currently have a career opportunity open for a Reinsurance Claims Analyst: Managed Care in our Pittsburgh, PA office.
Responsibilities:
1) Provide Claim support to Aon Risk Solutions Managed Care Clients:
Assist Clients with Claim submissions
Act as advocate to the client in the claim submission process
Retain high level of security within Government guidelines in the claim submission and review process
Perform the pre adjudication of claims as required by the client
Review reinsurance recovery for accuracy and to coordinate release recovery to the client
Develop receivable targets for clients as necessary.
2)Perform Claim Analysis for the benefit of the practice and clients
Create benchmark information for client comparison
Create reports for clients to include in data exchange meetings
Assist with Managed Care department requests as necessary in order to meet client demands
Qualifications & requirements
High School Diploma. Preferred post HS education/training in Claim processing, Health Insurance, understanding of Managed Care
3 – 5 years experience in claim processing of first dollar medical claims
2-3 years experience of claim processing in a managed care or stop loss environment
Understanding of Claim Coding, UB and HCFA forms and electronic filing requirements
Excellent verbal and written communication skills necessary.
Internet acumen to perform research on national Medicare, Medicaid and commercially offered managed care plans
Experience in Excel with ability to manipulate text and do formulas, Word and relational databases
Ability to work as part of a team
Aon offers competitive compensation, exceptional benefits, continuing education & training, a unique internal advancement program, and tremendous potential with a growing worldwide organization.
Aon's professionals are unwavering in their client focus and integrity. We promote diversity, professional development, frugality and stewardship, applying a disciplined non-bureaucratic approach to help our clients realize their business potential. Drawing on our experienced team as a competitive advantage, Aon employees have the freedom to take risks, foster innovation, champion for change and replicate best practices.
For more information about Aon Corporation, visit our website at http://www.aon.com.
Aon is an equal opportunity employer committed to a diverse workforce. M/F/D/V
DISCLAIMER:
Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time.
How to apply: DO NOT use the Apply Online button. Please copy and paste the following link into your browser address bar:
http://aon.contacthr.com/17617764
Aon helps clients anticipate how change intersects with opportunity. Each of our clients has unique business needs, so we have developed expertise for a complete range of business processes, products and industries. Aon’s account and relationship managers form We currently have a career opportunity open for a Reinsurance Claims Analyst: Managed Care in our Pittsburgh, PA office.
Responsibilities:
1) Provide Claim support to Aon Risk Solutions Managed Care Clients:
Assist Clients with Claim submissions
Act as advocate to the client in the claim submission process
Retain high level of security within Government guidelines in the claim submission and review process
Perform the pre adjudication of claims as required by the client
Review reinsurance recovery for accuracy and to coordinate release recovery to the client
Develop receivable targets for clients as necessary.
2)Perform Claim Analysis for the benefit of the practice and clients
Create benchmark information for client comparison
Create reports for clients to include in data exchange meetings
Assist with Managed Care department requests as necessary in order to meet client demands
Qualifications & requirements
High School Diploma. Preferred post HS education/training in Claim processing, Health Insurance, understanding of Managed Care
3 – 5 years experience in claim processing of first dollar medical claims
2-3 years experience of claim processing in a managed care or stop loss environment
Understanding of Claim Coding, UB and HCFA forms and electronic filing requirements
Excellent verbal and written communication skills necessary.
Internet acumen to perform research on national Medicare, Medicaid and commercially offered managed care plans
Experience in Excel with ability to manipulate text and do formulas, Word and relational databases
Ability to work as part of a team
Aon offers competitive compensation, exceptional benefits, continuing education & training, a unique internal advancement program, and tremendous potential with a growing worldwide organization.
Aon's professionals are unwavering in their client focus and integrity. We promote diversity, professional development, frugality and stewardship, applying a disciplined non-bureaucratic approach to help our clients realize their business potential. Drawing on our experienced team as a competitive advantage, Aon employees have the freedom to take risks, foster innovation, champion for change and replicate best practices.
For more information about Aon Corporation, visit our website at http://www.aon.com.
Aon is an equal opportunity employer committed to a diverse workforce. M/F/D/V
DISCLAIMER:
Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time.
How to apply: DO NOT use the Apply Online button. Please copy and paste the following link into your browser address bar:
http://aon.contacthr.com/17617764
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Published on Oct 28, 2010
Viewed: 495 times
Viewed: 495 times
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