Krg Tech inc
661 310 0190* 509
Job DescriptionJob Description:
· As a Claims Analyst, you are composing, maintaining and clarifying the policies and procedures for the Claims team. Our Claims Analyst is essential to ensuring the Medicare Part D Compliance team is following CMS guidelines. The Claims Analyst is responsible for making sure the policies and procedures are simple and clear for the team to understand, and must be able to answer questions that the team may have. The Claims Analyst is responsible for processing Medicare Part D claims and making outbound phone calls to Pharmacy’s, provider’s, and members.
· As part of the Paper Claims department you must be able to work well within a team environment as you will be acting as a liaison to internal partners, be able to hit deadlines and be able to set priority expectations for the team to follow.
· Additional responsibilities of the Claims Analyst include:
o Being able to resolve situations with policies and procedures
o Utilizing strong communications skills
o Setting your own priorities in a fast-paced environment
o Meet or exceed production expectations
o Meet or exceed quality expectations
Additional InformationAll your information will be kept confidential according to EEO guidelines.
Skills Required
- Ability to compose and maintain policies and procedures
- Strong communication skills
- Ability to work in a team environment and meet deadlines
- Ability to manage priorities in a fast-paced environment
- Experience with Medicare Part D claims
What We Do
Established for more than two decades, KRG Technologies, Inc., headquartered in Valencia, CA, is a distinguished leader in Workforce Solutions, Microsoft Technology Solutions & Services, and Edge Computing (iOT) across the USA, Canada, Dubai, and India. Recognized as a Great Place to Work for two consecutive years, and a five-time honoree by Inc5000, and certified with ISO 9001 and 27001, KRG Technologies has demonstrated a steadfast commitment to excellence and innovation in the Information Technology & Services industry. KRG specializes in providing all-around workforce solutions, developing advanced digital applications, Microsoft solutions, and Edge Computing(iOT) for smart spaces. Well-known for getting things done, we focus on finishing work on time and sticking to the budget without sacrificing quality. We are good at making cost-effective solutions that not only meet but go beyond what the client wants, making sure everything goes smoothly and gets the best results. The purpose of KRG’s existence is ‘employment creation’ and we want to have long-term relationships with our employees and clients. To do this, we follow the important principles of being honest and transparent. We offer customers the advantages of: • Software development processes - flawless execution and project management. • Leveraging a combination of proven onsite and offshore • Professional Services Unit to augment your onsite team capacity/capability • Commitment to meet your objectives "on time - within budget" • Aggressive Pricing & Proven Track Record.
