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NY Employer Associate, Claims Support Services Schenectady, New York

At MVP Health Care, were on a mission to create a healthier future for everyone which requires innovative thinking and continuous improvement. To achieve this, were looking for an Associate, Claims Support Services to join #TeamMVP. If you have a passion for Data driven decision making, Being Curious, and Research and problem solving, this is the opportunity for you.

Ensuring great member and provider experience by accurately and efficiently processing claims adjustments, while concentrating on putting our customers at the center of how Operations operates.

Ensures accurate and timely processing of claim adjustments/service forms and ad-hoc projects/retro database items in accordance with medical and ancillary guidelines and benefits.

Acts as a liaison with other department and outside vendors to resolve claim issues as they arise while also conducting root cause analysis on those issues with a focus on improving the member and provider experience.

Completes daily reports as needed with flexibility to move from one project to another on a daily/weekly basis.

Evaluates all business processes to proactively identify efficiency opportunities and partners with team leads to implement production and quality standards, identify trends and recognize process improvements with a focus on continuous improvement.

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