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    Insurance Operations Coordinator - Torrance, United States - HireTalent - Diversity Staffing & Recruiting Firm

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    Description

    Insurance Operations Coordinator

    Torrance, CA

    Contract-to-hire

    The Insurance Network Operations Coordinator 2 maintains provider relations to support customer service activities through data integrity management and gathering of provider claims data needed for service operations.

    Must Haves:

    • Less than 3 years of technical experience
    • Previous account management, project management or related experience
    • Associates or Bachelors' Degree
    • Prior experience working in the insurance industry

    Preferred:

    • Prior contract interpretation experience strongly desired
    • MS Access
    • Previous provider experience (provider contract, provider relations, or provider service)
    • Previous experience in claims

    Key Responsibilities & Actions:

    • Manages provider data for health plans including but not limited to demographics, rates, and contract intent
    • Manages provider audits, provider service and relations, credentialing, and contract management systems.
    • Executes processes for intake and manage provider perceived service failures, decisions are typically focused on interpretation of area/department policy and methods for completing assignments
    • Performs varied activities and moderately complex administrative/operational/customer support assignments.
    • Performs computations.
    • Typically works on semi-routine assignments.
    • Manages provider data for health plans including but not limited to demographics, rates, and contract intent.
    • Manages provider audits, provider service and relations, credentialing, and contract management systems.
    • Executes processes for intake and manage provider perceived service failures.
    • Decisions are typically focus on interpretation of area/department policy and methods for completing assignments.
    • Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction.
    • Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.

    Required Qualifications

    • Less than 3 years of technical experience
    • Proficiency in MS Office applications
    • Possess a strong attention to detail
    • Ability to work in a deadline driven environment
    • Strong verbal and written communication skills
    • Previous account management, project management or related experience
    • Must be passionate about contributing to an organization focused on continuously improving consumer experiences

    Preferred Qualifications

    • Associates or Bachelors Degree
    • Prior experience working in the insurance industry
    • Proficiency in MS Access
    • Previous experience in claims
    • Prior contract interpretation experience strongly desired
    • Previous provider experience (provider contract, provider relations, or provider service


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