[Remote] Claims Medicare Compliance Specialist

Note: The job is a remote job and is open to candidates in USA. Compre Group is a global reinsurance specialty company servicing insurance markets in Lloyd’s, Europe, and North America. The Claims Medicare Compliance Specialist will support Medicare reporting and compliance by maintaining claim data, reviewing queries, preparing CMS submission records, investigating exceptions, and coordinating issue resolution with claims teams, TPAs, and vendors.

Responsibilities

• Reporting to the Claims Compliance and Quality AVP, you’ll help maintain accurate claim data, run and review Medicare queries, prepare records for CMS submissions, investigate reporting exceptions and work with claims teams, TPAs and vendors to resolve issues. You’ll also support data-quality reviews, remediation projects and reporting deadlines

Skills

• Strong Excel skills
• Attention to detail
• The ability to manage priorities in a regulated environment
• Some Medicare experience or knowledge
• Someone to develop their Medicare insurance claims skills, ideally coming from operational support, data validation or compliance

Benefits

• Fully remote / Flex First work arrangement, enabling employees to work from any location
• Bonus eligible
• Medical, EAP, dental, and vision insurance for individuals and families
• Excellent HSA plan with Compre funding
• Life insurance
• 401k with company match
• Company off-site meetings
• Remote worker expenses
• Health and wellbeing programs
• Employee referral program
• Ongoing learning opportunities supporting professional development
• Relevant Medicare accreditation or qualification as part of development in the role
• Generous vacation and holiday schedule
• STD and LTD coverage

Company Overview

• Compre Group operates as an insurance company. It was founded in 1991, and is headquartered in Hamilton, Hamilton, BMU, with a workforce of 201-500 employees. Its website is http://www.compre-group.com.