Processor, COB Review

Job Summary

Provides support for coordination of benefits review activities that directly impact medical expenses and premium reimbursement. Responsible for primarily coordinating benefits with other carriers responsible for payment. Facilitates administrative support, data entry, and accurate maintenance of other insurance records.

Essential Job Duties

Provides telephone, administrative and data entry support for the coordination of benefits (COB) team.

Phones or utilizes other insurance company portals to validate state, vendor, and internal COB leads.

Updates the other insurance table on the claims transactional system and COB tracking database.

Review of claims identified for overpayment recovery.

Required Qualifications

At least 1 year of administrative support experience, or equivalent combination of relevant education and experience.

Strong organizational and time management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.

Strong verbal and written communication skills.

Ability to work cross-collaboratively across a highly matrixed organization and establish and maintain effective relationships with internal and external stakeholders.

Microsoft Office suite proficiency.

Preferred Qualifications

Health care experience