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Health and Benefits Medical Claims Audit Consultant

Company: Aon
Location: Springfield
Posted on: April 16, 2019

Job Description:

Job Family US-IL-Virtual

POSTING DESCRIPTION

Aon Is Looking For A Health and Benefits Medical Claims Audit Consultant

As part of an industry-leading team, you will help empower results for our clients by delivering innovative and effective solutions as part of our Health and Benefits business group within Aon Hewitt in a virtual capacity. As a Health and Benefits Medical Claims Audit Consultant, you will report directly to an Assistant Vice President.



Your Impact As A Health and Benefits Medical Claims Audit Consultant



Position Responsibilities:

* Audit claims at the health plan to determine if the claims were paid correctly

* Manage pieces of projects

* Send scope letters

* Get non-disclosure agreements resolved

* Ensure claim selection is done per the plan design

* Schedule claim audit with health plan

* Resolve claim errors with health plans

* Send results letters and compile audit results

* Write letters and reports for projects

* Project management is generally for smaller projects

* Writes reports that may require review and editing by others.

* Participate in meetings such as kick-off calls, operational assessments, report deliveries

* Participate in internal meetings, training, etc.

* Develops professional expertise.

* Applies company policies and procedures to resolve a variety of issues.

* Possesses an awareness of larger team/department strategies and customer needs.

* Works on issues of moderate scope where analysis of situations or data requires a review of a variety of factors.

* Incumbent typically has latitude to consider whether new procedures need to be developed.

* Builds productive working relationships with peers and higher level professionals internally and externally to exchange information and make recommendations.

* May provide guidance and training to process-oriented workers.

* Requires at least 50% travel

You Bring Knowledge and Expertise



Required Experience:

* Project management experience

* Benefits/claims administration knowledge (3+ years of experience)

* Detail orientation

* Strong Communication skills (oral and written)

* Analytical skills (quantitative and qualitative)

* Software skills (Microsoft Word, Excel, PowerPoint)

Education:

* Bachelor's degree preferred





Aon provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, age, disability, veteran, marital, or domestic partner status. Aon is committed to a diverse workforce and is an affirmative action employer.

Keywords: Aon, Springfield , Health and Benefits Medical Claims Audit Consultant, Healthcare , Springfield, Illinois

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