Claims Resolution Representative - HYBRID (ME)

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow.

Working at Gainwell carries its rewards. Youll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.

Summary

As a Lead for the Claims Unit at Gainwell Technologies, you will be part of an innovative company with a mission to serve the healthcare needs of our communities.

You will be responsible for evaluating current claims processes to look for efficiencies to continuously achieve account goals and outcomes.

You will be responsible for answering team questions related to claims processing, updating related processing Your work directly supports the Account Delivery Manager ADM , Regional Leader, and internal business partners in achieving or exceeding contractual obligations and company goals and objectives.

Your role in our mission

Gainwell empowers you through innovative technologies and solutions to deliver better health and human services outcomes.

When joining Gainwell, you will :

• Supporting claims staff in executing claims processing activities.
• Identify and manage existing and emerging risks from business activities and assist in the implementation of mitigation strategies to improve performance.
• Establish and effectively lead routines regularly, utilizing tools and reporting that will assist the unit leader in driving team performance;
• Provide ongoing assistance to staff as needed to perform their duties.
• Effectively cultivate positive working relationships with account leaders, clients, business partners and co-workers to proactively identify opportunities to improve the delivery of claims services.
• Consistently, engage in positive and professional working relationships with account leaders, co-workers and our client.

What we're looking for

• A self-motivated, talented individual with 2 or more years of healthcare claims processing experience.
• Knowledge of claims and claims processing business processes and experience with varying service objectives and technical solutions is preferred.
• Demonstrated strategic initiative implementation and execution, specifically with operating policies and procedures and work process improvements in an claims area.
• Proficient with Microsoft Office suite products and hardware and software applications to manage claims activities and back-office operations (Verint, SharePoint, PowerPoint, Outlook, Excel, etc.).
• Strong written and oral communication and positive interpersonal skills to work effectively with team members, customers, and clients.

What you should expect in this role

Hybrid position that will work both in the Augusta, Maine office and remotely.

LI-HYBRID #LI-JW1

The pay range for this position is $56,300.00 - $80,400.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.

Put your passion to work at Gainwell. Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development.

All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance.

We also have a variety of leadership and technical development academies to help build your skills and capabilities.