Operations Intern

This position will be primarily responsible for supporting all administrative processes related to Claims including Document Capture, Document Indexing, and Claim Analyst processes, including creating claims from client submissions, compiling reports and performing analyses critical to meeting weekly, monthly and quarterly Claims deliverables. This position will also assist in responding to audit requests and performing activities to facilitate the financial close.

Document Capture

• Ensure that the Claim documents were correctly categorized for processing in Claims Imaging prior to releasing the documents for indexing.
• Scan any claim documents received via mail
• Work closely with the data capture representatives to resolve any issues that might arise

Document Indexing

• Set up new claims as needed for clients that submit claims as individual initial notices / request for payment
• Verify that all documents attached to the claim are correctly indexed  
• Verify that all information entered is accurate to ensure that any auto-adjudicated claims are paid correctly.

Claim Analyst

• Review, enhance, and sign settlements ensuring client payments and refunds are processed timely
• Produce and provide claim reports to clients as needed
• Monitor workflow and identify potential claims processing issues
• Assess and clear claims held in verification / pending claim status
• Work cross-functionally to resolve system impediments to claim payment processing
• Prepare weekly, monthly and quarterly paid claim and WIP reports
• Establish requirements for system enhances and log tickets for tracking, testing, and implementation
• Analyze client trending analyses to understand financial results and identify potential future impact
• Assist with internal and external audits
• Produce ad-hoc reports for management and other members of the organization as needed
• Produce claims metrics reports as required
• Identify opportunities for improvement and implement solutions
• May perform other duties as required