Claims Operations Associate (Contract)

Reliance Health(10 months ago)

HybridFull TimeMedior$250,000 - $300,000Claims Operations

About this role

A Claims Operations Associate at Reliance Health contributes to the company’s mission to make healthcare more accessible and affordable in emerging markets by supporting the claims function within its integrated, tech-enabled health system. The role is positioned at the intersection of insurance, provider networks, and technology to ensure smooth interactions between members and care providers. It operates within a collaborative environment focused on improving healthcare delivery through data-driven processes and partner coordination.

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Required Skills

Claims Examination
Fraud Investigation
Tariff Negotiation
Payment Reconciliation
Approvals Management
Clinical Knowledge
Analytical Skills
Communication Skills
Shift Flexibility

Qualifications

First Degree in Medicine, Nursing or Pharmacy
Completion of Internship/Housemanship

About Reliance Health

getreliancehealth.com

Reliance Health is a company dedicated to enhancing employee well-being through innovative healthcare benefits tailored for businesses of all sizes. By integrating comprehensive health solutions, Reliance Health aims to improve the lives of staff and ensure organizations can rely on effective and accessible health resources. Their offerings cater to a diverse range of needs, supporting both employee satisfaction and overall productivity in the workplace.