Product Operations Liaison

November 26

🌽 Illinois – Remote

Although this job is listed in Illinois, this company may be open to hiring remote in other states.

💵 $23 - $25 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

⚡️ Product Operations

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Allied Benefit Systems

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Healthcare Insurance • B2B

Allied Benefit Systems is a national healthcare solutions company that provides health plan administration, care and cost management, provider network services, and data analytics to employers, members, and benefits consultants. The company focuses on reducing healthcare costs, optimizing plan performance, and improving member experience through administrative services, analytics & insights, and customizable provider networks.

201 - 500 employees

Founded 1980

⚕️ Healthcare Insurance

🤝 B2B

📋 Description

• Interact between our internal/external teams and the client to offer the best customer service through claim review and investigation, replying via email • Execute investigation of multiple claim functions • Mediate between our members and our administrative team • Use Outlook and external programs to communicate the status of all open claims • Advocate for our members through investigation of open claims to ensure timely processing of payments • Push failed claims over $10K through the IPAO process until completed • Understand the role of the Administrator, and back the Administrator team up when needed • Executes effective resolutions on claim issues and ensures that the appropriate Allied teams are informed • Processes fee claims for Case Management, Enhanced Case Management, HRA Pharmacy claims and various other vendor fee • Demonstrates strength and understanding of all workflows and business processes to execute the overall service strategy for BPO Clients • Fosters a sense of urgency and commitment to achieve goals resulting in the ability to influence the organization to meet and exceed customer expectations

🎯 Requirements

• Bachelor’s degree or equivalent work experience • 2+ years experience in an administrative or data entry role • Group Health Insurance/Benefits experience preferred • Experience working with medical claims a plus • Excellent verbal and written communication skills • Excellent organizational skills and attention to detail • Excellent time management skills with a proven ability to meet deadlines • Strong analytical and problem-solving skills • Ability to prioritize tasks and to delegate them when appropriate • Ability to function well in a high-paced and at times stressful environment • Proficient Microsoft Office Suite or related software

🏖️ Benefits

• Medical • Dental • Vision • Life & Disability Insurance • Generous Paid Time Off • Tuition Reimbursement • EAP • Technology Stipend