Claims Reimbursement Associate

Remote Full-time
Adaptive Solutions Group is a premier provider of information technology personnel. We provide a variety of technical professionals available for contract, contract to hire, or direct placement positions to companies in and around the Kansas City and St. Louis areas.
We are currently looking for a Claims Reimbursement Associate to join our team.
Responsibilities
Ā• Review and reconcile supporting payment detail
Ā• Review and confirm policy terms of coverage
Ā• Process and refer payment due
Ā• Ensure payments remain in compliance with both policy and departmental guidelines
Ā• Process ceded reinsurance billing; including external distribution of invoices, follow up on outstanding amounts due, and management reporting
Ā• Support reconciliation and escheat processes related to claim payments
Ā• Cross train and serve as back-up for others on the Finance team as needed
Ā• Perform other duties and responsibilities as necessary to assure the overall success of the Finance Team
Ā• Powercomp, Freedom Reinsurance System (FRS), Intermediate Microsoft Excel Skills
Ā• Interact and collaborate with employees at all levels from across the organization
Ā• Ability to recommend, present and implement change
Ā• Communicate with multiple TPAs and work to obtain all necessary data and resolve any reconciling issues
Required Qualifications
Ā• Be a problem solver, with high attention to detail, and be willing to take ownership.
Ā• Team-oriented, approachable, welcome feedback, self-motivating and enthusiastic.
Preferred Qualifications
Ā• College diploma or university degree in the field of accounting or finance preferred.
Adaptive Solutions Group offers a competitive compensation and benefits package that includes medical, dental, STD/LTD, life insurance coverage, 401k, paid vacation and holidays.
Adaptive Solutions Group is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.

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