Claims Associate

Associate - Claims

AArete is one-of-a-kind when it comes to consulting firm culture.

We're a global, innovative management and technology consulting firm with offices in the U.S. and India. Our name comes from the Greek word for excellence: AAreté. And excellence is exactly what we strive for.

We're celebrating our fourth year as one of Forbes World's Best Management Consulting Firms – and our success starts with our people. From robust career development planning to competitive life and wellness benefits, AArete's Culture of Care takes a holistic approach to the employee experience.

AAretians (our team members) are leaders at every level. You are encouraged to unlock your full potential by directly contributing to our mission and prioritizing personal development and fulfillment.

The Role

As a Claims Associate, you will play a critical role in overseeing the day-to-day operations of the claims department and ensuring that our clients receive exceptional service. If you have a passion for helping people and a drive to succeed, we encourage you to apply.

Work You'll Do

• Ensure timely and accurate investigations are conducted to validate overpayments.
• Conduct investigations into complex overpayment claims.
• Develop and implement policies and procedures to enhance the overpayment process.
• Provide leadership and mentorship to claims staff.
• Analyze complex overpayment cases, including reviewing data, identifying discrepancies and determining appropriate recovery actions.
• Partner with other departments to achieve company goals and objectives.
• Collaborate with onshore leadership to align offshore team operations with strategic objectives, ensuring seamless execution of payment integrity initiatives.
• Other duties as assigned

Requirements

• Master's degree in business administration or bachelor's degree in a related field.
• 3+ years of experience in claims management with the US Health care domain.
• Excellent communication and interpersonal skills.
• Strong analytical and problem-solving skills.
• Ability to work effectively in a fast-paced and dynamic environment.
• Familiarity with CMS Medicare and Medicaid regulations, reimbursement methodologies, and payment policies.
• Ability to work independently with minimal supervision and effectively manage multiple priorities.

Preferred Requirements

• Experience working on Advance Excel
• Knowledge of CAS Claims Adjudication Platform will be an added advantage

Benefits

• Flexible Paid Time Off of up to 23 days annually, in addition to 10 paid public holidays
• Hybrid work model with flexible in-office attendance
• Comprehensive health benefits including medical insurance (Mediclaim), personal accident insurance, and term life insurance
• Generous paid parental leave program
• Attractive employee referral bonus scheme
• Transportation allowance and night shift allowance
• Employee advance salary loan facility
• Structured professional certification reimbursement policy to support ongoing learning and development

We put humans at the center of our work

We're a global management and technology consulting firm specializing in strategic profitability improvement, digital transformation, and strategy & change for clients. Our cross-industry solutions are powered by a digital-first mindset, market intelligence, and data-driven approach to deliver purposeful change, actionable insights, and guaranteed results.

But what sets us apart is our people. We are guided by our deeply embedded guiding principles: Excellence, Passion, Loyalty to Clients, Stewardship, Family, Community, Sustainability, and Inclusion.

And we've been recognized as a top firm to work for by companies like Forbes, Top Workplaces Chicago Tribune, and Consulting Magazine.

We've earned a Great Place to Work Certification™ and been named a World's Best Management Consulting Firm by Forbes, Vault's Top 50 Firms to Work For, Crain's Chicago Business Fast 50, Inc 5000's Fastest Growing Firms, and Consulting Magazine's Fastest Growing Firms.

Learn more about our award-winning culture

AArete, LLC (AArete) may utilize Artificial Intelligence/Automated Decision-Making Technology/Automated Employment Decision Technology tools and resources (AI or tools or resources) to assist humans in generating job descriptions and postings, recruitment, analyzation of information, screening candidates, evaluation of candidate information, and assisting humans in the selection of potential candidates by all levels of AArete employees for all positions.

AArete may use Microsoft Co-Pilot, OpenAI ChatGPT, Anthropic Claude, Google Gemini, LinkedIn Recruiter AI and Hiring Assistant, Jobvite Talent Fit and AArete HireSense. AArete may use all the information you provide. Submission of information to AArete shall serve as consent to AArete's use of AI tools and resources. AArete complies with all applicable law and does not use AI to discriminate against any individual and does not use location or geographic data like zip codes to act in a discriminatory or illegal manner. Your personal data may be used in relation to prospective employment with AArete and will only be retained for so long as legally necessary.

AArete shall comply with its posted privacy policies and candidates may contact Recruiting or Privacy Departments, as identified below, to request accommodations or to exercise any of your applicable rights, pursuant to applicable law:

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We are an Equal Employment Opportunity Employer

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.