Claims Medicare Compliance Specialist

Job not on LinkedIn

🔥 1 minute ago

🗻 New Hampshire – Remote

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⏰ Full Time

🟡 Mid-level

🟠 Senior

🚔 Compliance

👻 Ghost score 10%

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Logo of Compre Group

Compre Group

51 - 200 employees

🛡️ Insurance

🤝 B2B

💸 Finance

Insurance • B2B • Finance

Compre Group is a leading legacy specialist with over 30 years of experience in the acquisition and management of insurance and reinsurance companies and portfolios in run-off. With operations in Finland, Germany, Malta, Bermuda, Switzerland, the US, and UK, Compre focuses on securing legal, financial, and operational finality for insurers and reinsurers that seek to exit their legacy exposures. They have established local relationships across Europe and North America and have a track record of completing multiple company and business portfolio acquisitions from notable financial institutions.

📋 Description

• Maintain accurate claim data • Run and review Medicare queries • Prepare records for CMS submissions • Investigate reporting exceptions • Work with claims teams, TPAs, and vendors to resolve issues • Support data-quality reviews • Support remediation projects and reporting deadlines • Develop Medicare insurance claims skills

🎯 Requirements

• Strong Excel skills • Attention to detail • Ability to manage priorities in a regulated environment • Some Medicare experience or knowledge is essential • Ideally comes from operational support, data validation, or compliance • Willingness to complete a relevant Medicare accreditation or qualification as part of development in the role

🏖️ Benefits

• Flex First remote work approach enabling employees to perform from any location • Regular events and collaboration • Competitive salary and bonus eligibility • Medical, EAP, dental, and vision insurance for individuals and families • Excellent HSA plan with Compre funding • Life Insurance • 401k with Company Match • Company Off-Site Meetings • Remote Worker Expenses • Health and Wellbeing Programs • Employee Referral Program • Ongoing learning opportunities • Generous vacation and holiday schedule • STD & LTD coverage

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