Operations Intern

This position will support all administrative processes related to Claims, including Document Capture, Document Indexing, and Claim Analyst processes.

Requirements

• Ensure that Claim documents were correctly categorized for processing in XBound
• Scan any claim documents received via mail
• Work closely with the data capture representatives to resolve any issues that might arise
• Set up new claims as needed for clients that submit claims as individual initial notices / request for payment
• Verify that all documents attached to the claim are correctly indexed
• Verify that all information entered is accurate to ensure that any auto-adjudicated claims are paid correctly
• Review, enhance, and sign settlements ensuring client payments and refunds are processed timely
• Produce and provide claim reports to clients as needed
• Monitor workflow and identify potential claims processing issues
• Assess and clear claims held in verification / pending claim status
• Work cross-functionally to resolve system impediments to claim payment processing
• Prepare weekly, monthly and quarterly paid claim and WIP reports
• Establish requirements for system enhances and log tickets for tracking, testing, and implementation
• Analyze client trending analyses to understand financial results and identify potential future impact
• Assist with internal and external audits
• Produce ad-hoc reports for management and other members of the organization as needed
• Produce claims metrics reports as required
• Identify opportunities for improvement and implement solutions