Health Claims Administrator at CLHIA

Shape your future with CLHIA as a Health Claims Investigative Administrator, working in a hybrid model. Leverage your excellent communication and organizational skills to enhance investigation oversight.

In this integral role, you will report to the Director of Anti-Fraud Programs and focus on managing the joint investigation program efficiently. Collaboration with a close-knit team is vital, as you ensure accurate documentation and support program objectives. A proactive and adaptable mindset is a must to handle varying priorities.

Key Responsibilities:

• Coordinate the documentation of investigation submissions

• Prepare and deliver materials for the website

• Address inquiries and facilitate meeting preparations

• Oversee datastore accuracy and access rights

• Suggest ongoing improvements and analyze data trends

Requirements:

• Bachelor’s degree with a minimum of 3 years in relevant experience

• Familiarity with the life and health insurance sectors

• Prior experience in fraud investigations necessary

• Strong organizational and time management skills

• Proficiency in MS Office, with Power BI knowledge a plus

Join CLHIA in a role that requires strong admin skills and supports essential health claims investigations.
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