An independent subsidiary of WellPoint, Inc, National Government Services (NGS) is one of the largest Medicare contractors in the country, serving nearly 200,000 providers and suppliers and over 20 million customers with Medicare in 20 states and five U.S. territories.
Bring your expertise to our innovative, achievement-driven culture, and you will discover lasting rewards and the opportunity to take your career further than you can imagine.
Our NGS Claims Team Lead is responsible for the day-to-day leadership, guidance and training of Claims Processors in the NGS business unit.
Primary duties may include, but are not limited to:
Reviews and processes the more complex health claims involving medical issues, etc.
Investigates facts for questionable claims.
Negotiates settlements of disputed claims within defined dollar limits.
Applies expert knowledge in all key areas.
Able to perform all complex functions.
Identifies processing issues and works towards resolution, escalating issues as appropriate.
Monitors and manages inventory to ensure that all claims are processed timely.
Acts with a sense of urgency.
Provides leadership and guidance to unit.
Assists in training less experienced processors.
Our Team Lead is requires a High School Diploma or GED; 5 + years Medicare claims experience; 3 + years of experience and expertise with NGS relevant automated processing systems; strong written and oral communication skills, PC, analytical, problem solving skills; and in-depth knowledge of specialized area; or any combination of education and experience, which would provide an equivalent background. Previous leadership experience preferred. Ability to travel maybe required.
WellPoint is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine, and is a 2012 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company please visit us at www.wellpoint.com/careers. EOE
Once an offer is accepted, all external applicants are subject to a background investigation
and if appropriate, drug testing. Offers of employment shall be contingent upon
passing both the background investigation and drug testing (if required).
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