Claims Software System Configuration Tester - Remote

Overview

The Claims Software System Configuration Tester plays a crucial role in validating the effectiveness of claims operations by developing audit programs and testing system setups to ensure accuracy and compliance with industry standards.

In Short

• Remote role with flexible work schedule.
• Develop and implement auditing policies for financial and data accuracy.
• Participate in operational reviews and annual testing of benefit changes.
• Test and validate software routines within the GE FRM Application.
• Coordinate testing with multiple teams and vendors.
• Maintain organized documentation and project records.
• Assist in the development of training materials for new processes.
• Provide leadership in process improvement initiatives.
• Work with third parties for electronic claims submission.
• Ensure adherence to policies and procedures for system implementation.

Requirements

• Bachelor's degree or equivalent experience.
• 7-8 years of experience in GE Claims Adjudication and managed care.
• Advanced knowledge of Medicare and Medicaid regulations.
• Ability to manage multiple projects simultaneously.
• Exceptional skills in interpreting contract language.
• High level of proficiency in GE applications.
• Detail-oriented with a willingness to learn and improve processes.
• Strong time management and organizational skills.
• Previous lead or supervisory experience is a plus.

Benefits

• Comprehensive suite of Total Rewards and benefits.
• Competitive compensation based on qualifications and experience.
• Paid Time Off programs.
• Health and welfare benefits including medical, dental, and vision.
• Defined contribution retirement plans with employer match.
• Educational Assistance Program.
• Opportunities for career development and training.