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QUARTZ HEALTH Claims Operations Specialist in MADISON, Wisconsin

JOB REQUIREMENTS: Claims Operations Specialist Job Locations US-WI ID 2024-2118 Category Claims Type Regular Full-Time Overview Quartz is looking for an individual to process pends, reports and all claim types in the claims processing system. This may include contacting outside vendors, members and providers. Come find your spark at Quartz! Benefits: Flexible and supportive work environment Full-time, remote, in-person or hybrid work environments available Ideal wage, based on skills and experience: \$20.72 to \$25.91, plus robust total rewards package Responsibilities Process all pends and reports across all claim types, in the claims processing system Use internal and external databases or websites to process claims Work all reports on a daily basis or upon receipt Obtain all information needed to adjudicate claims appropriately through internal and external verbal and written correspondence Responsible for adhering to the principles of continuous quality improvement to ensure that our members receive the highest quality service Respond to CRMs assigned to the Claim Operations team within 2-business days, which may entail contacting members or providers directly to resolve the CRM Identify trends and opportunities for process improvements, including changes needed to the Claims Manual Qualifications High school diploma or equivalency Three years of experience working in an office setting Applicants have the option to work remote, hybrid or full-time from our Madison, WI or Onalaska, WI office. Hardware and equipment will be provided by the company, but candidates must have access to high-speed, non-satellite Internet to successfully work from home. Quartz offers an excellent benefit and compensation package, opportunity for professional growth and a professional culture built upon the foundations of Respect, Responsibility, Relationships, & Resourcefulness. To support a safe work environment, all employment offers are contingent upon successful completion of a pre-employment criminal background check. Quartz values and embraces diversity and is proud to be an Equal Employment Opportunity, Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity or expression, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified person with disability. Need help finding the right job? We can recommend jobs specifically for you! Click here to get started. Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individual with Disabilities ***** APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/60B6A1CC4E4C4114

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