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Benner logo
Benner

Universo de possibilidades para simplificar o seu negócio!

Calculations Analyst, Mid-level

AnalystAnalystFull TimeRemoteSeniorTeam 1,001-5,000Since 1997H1B No SponsorCompany SiteLinkedIn

Location

Brazil

Posted

12 days ago

Salary

0

Seniority

Senior

Bachelor DegreePortuguese

Job Description

Calculations Analyst, Mid-level

Benner

• Perform initial contingency calculations. • Perform contingency calculations for decisions (judgments and appellate decisions). • Prepare execution-phase calculations (submissions, objections, and various filings). • Prepare supporting calculations for EE and AP, draft counter-arguments, settlement breakdowns, and calculation updates. • Respond to attorneys' emails. • Prepare accounting opinions/reports. • Prepare provision calculations. • Perform judgment quantification (liquidation), defenses (contestations) and enforcement calculations.

Job Requirements

  • Bachelor's degree completed.
  • Courses or background in: Human Resources, Accounting, Law, or Business Administration.

Benefits

  • Meal/food allowance 🥗
  • Health insurance 🩺
  • Dental plan 🦷
  • Birthday day off 🎉
  • Transportation allowance 🚍
  • Corporate University: IPED / Allura — free corporate education platform 📚
  • Certification incentive: Additional compensation per certification according to company policy (eligible after 3 months) 📚
  • Education assistance: Reimbursement of up to 50% for postgraduate degrees or MBA (eligible after 3 months) 📚
  • Marriage assistance (eligible after 1 year)
  • Childcare assistance: (amounts adjusted annually for children up to 60 months)
  • Maternity/paternity package: baby hospital discharge kit 👩🏽‍🍼
  • TotalPass wellness program 💪🏼

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Role Description This is a remote position. Must reside in California. Under general supervision, responsible for auditing claims data and adjustments for accuracy of input and adjudication and facilitating the processing of assigned claims. Essential Functions: - Reviews claims, appeals, refunds, PLOGS, reinsurance cases, correspondence and other documents. - Identifies errors and analyzes to determine cause. - Documents findings and sends back for correction and adjudication. - Provides feedback and/or compiles and submits reports in a timely and accurate manner. - Monitors potential large loss claims; requests reimbursement for payments as required. - Collaborates with internal and external customers to answer questions, request information; sends required correspondence. 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Requirements - High school diploma or equivalent required. - Associate’s degree or higher in healthcare administration, business, or related field or: - Minimum of one-year internal adjustments and dispute specialist experience; or - Three years of experience in medical claims processing, adjustments, and quality assurance; and - Claims or medical billing/coding experience in healthcare field; or - Equivalent combination of education and experience. Preferred - Claims Medi-Cal and/or Managed Healthcare and Medicare auditing experience. - Billing/Coding Certificate or Medical Administrative Assistant Certificate. Licensure, Certification, Registration - CPB + CPC: Medical Billing and Coding certification, preferred. Benefits - Employee Wellness Program promoting physical, mental, and financial well-being. - Robust and affordable medical coverage including HMO and PPO plan options. - Dental and vision plan with multiple provider choices. - Generous paid time off (accrue up to 3 weeks of PTO, 4 paid floating holidays, and 9 paid holidays). - CalPERS retirement pension program, automatic employer-paid retirements contributions, plus a voluntary defined contribution plan. - Two flexible spending accounts (FSAs) for healthcare and dependent care expenses. - Employer-Paid Term Life and AD&D Insurance. - Employer-Paid Disability Insurance. - Employer-Paid Assistance Program (EAP). - Health Advocacy to help you navigate medical care and benefits. - Voluntary supplemental benefits including medical, legal, identity theft protection. - Online discount mall. - Tuition reimbursement. - Remote work contingent on business needs and company guidelines. - A chance to work for an organization that is mission-driven – our members and community are at the core of everything we do. 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