Consultant III - National Claims Service

Are you a highly skilled and experienced professional looking for a challenging and rewarding career opportunity? Look no further, as Kaiser Permanente is seeking a Consultant III for our National Claims Service team. In this role, you will be responsible for providing expert guidance and support to our claims department, ensuring the accurate and timely processing of claims. We are looking for an individual with a proven track record of success, exceptional analytical skills, and excellent interpersonal abilities. If you are passionate about making a positive impact in the healthcare industry and possess the necessary qualifications, we invite you to apply for this exciting position.

1. Provide expert guidance and support to the claims department to ensure accurate and timely processing of claims.
2. Utilize exceptional analytical skills to identify and resolve complex claims issues.
3. Collaborate with cross-functional teams to improve claims processes and procedures.
4. Stay updated on industry regulations and trends to ensure compliance and efficiency.
5. Mentor and train junior team members to enhance their skills and knowledge.
6. Develop and present reports on claims data and performance to upper management.
7. Communicate effectively with internal and external stakeholders to address any concerns or inquiries.
8. Conduct audits and quality checks to maintain high standards of claims processing.
9. Continuously evaluate and improve claims systems and tools to increase productivity and accuracy.
10. Represent the organization in meetings and conferences related to claims processing.
11. Handle escalated or complex claims issues and provide resolutions.
12. Maintain a high level of confidentiality and professionalism in handling sensitive information.
13. Collaborate with other departments to identify and implement process improvements.
14. Adhere to all company policies, procedures, and guidelines.
15. Act as a subject matter expert and resource for the team.

According to JobzMall, the average salary range for a Consultant III - National Claims Service in Atlanta, GA, USA is $69,000 - $103,000 per year. However, this can vary depending on factors such as experience, education, and the specific industry or company the consultant is working in.

Kaiser Permanente is an American integrated managed care consortium, based in Oakland, California, United States, founded in 1945 by industrialist Henry J. Kaiser and physician Sidney Garfield.