About The Position

Meet Wellfleet. We’re an industry-leading Berkshire Hathaway insurance company with a passion for our clients and our team. We are hundreds of professionals with varied backgrounds and experience levels who came together to achieve one goal: helping to protect people against risk at every stage of life. Never considered the insurance industry before? We think you should. In this role, you will…

Requirements

  • Minimum of 1 year of college completed towards a BA/BS degree with an interest in analytics.
  • Proven ability to work on a team or operate independently and prioritize job duties.
  • Outstanding interpersonal, oral, and written communication skills.
  • Ability to succeed in high-volume environments requiring personal organization, multitasking, and regular reprioritization with short turnaround time on items of high impact.
  • Experience in researching and accurately resolving technical subject matter while working under pressure and within time constraints.
  • Strong working knowledge of Microsoft Office products. Advanced understanding of Excel is a plus.
  • Authorization to work in the United States without requiring visa sponsorship, both now and in the future.
  • Year-round availability: 15-20 hours/week during the school year and 40 hours/week during the summer.

Nice To Haves

  • Basic knowledge of healthcare claims and/or medical terminology a plus.
  • Basic knowledge of SQL a plus.

Responsibilities

  • Create and maintain organized case files with thorough documentation of data analysis, research, correspondence, investigative charts, and reports related to the investigation.
  • Coordinate with other departments to prepare clinical reviews, network notifications and overpayment allocations.
  • Conduct preliminary research to identify targeted accounts, networks involved, and provider demographics.
  • Review leads and referrals for Wellfleet exposure to assist in potential case creation and development decisions.
  • Participate in trainings and committee meetings, prepare and distribute notes and action items.
  • Perform other duties as assigned
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