Insurance claims Jobs in Abilene tx

A company is looking for a Claims Administrator to maintain and expand their health benefits self-insurance program.Key ResponsibilitiesTrack and evaluate monthly aggregate and risk reporting from partner channels, brokers, and third-party administratorsAudit trigger notices and potential large claim notices for completeness and ongoing risk potentialComplete required reporting to management and present findings to the management committeeRequired QualificationsBachelor's degree preferred3 years of medical claims or stop loss claims auditing experience preferredFull working knowledge of carrier policy requirements and claims auditing practicesFull working knowledge of major medical benefit plansAbility to understand and explain coverage exposure and restrictions