Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow.

At Great American, we value diversity and recognize the benefits gained when people from different cultures, backgrounds and experiences work collaboratively to achieve business results. We are intentionally focused on fostering an inclusive culture and know valuing diversity is an essential leadership quality. Our goal is to create a workplace where all employees feel included, empowered and enabled to perform at their best.

Corporate Claims is creating an operations team to support all of aspects of Medicare compliance from Section 111 reporting to MSP conditional payment recovery.  Working knowledge of basic Medicare reporting concepts, procedures and processes is required.   The ideal candidate must be curious, willing to invest time to dig deeper, able to apply root cause analysis concepts and promote process standardization.

Essential Job Functions and ResponsibilitiesParticipates in planning and coordinating projects.Prepares and maintains project plans, budgets and staffing requirements.Tracks progress.  Identifies and participates in resolving obstacles.Provides general administrative support to project staff. Tasks may include:Prepares routine to moderately complex correspondence, memoranda, agendas, status reports, summaries, request for proposal (RFP’s) etc.Facilitates logistics such as scheduling meetings, conference rooms, conference calls, etc.Takes meeting minutes and action items during meetings and performs basic follow-up.Prepares charts, graphs, presentations and/or tables of a moderately complex nature.Collects, compiles and analyzes moderately complex information to be included in reports and presentations.Facilitates communication with project staff, stake holders and key resources.Builds and maintains strong divisional and intra-company relationships as well as an understanding of the business/functional unit and organization.Demonstrates working knowledge of department policies and procedures, as well those of the organization.Performs other duties as assigned.Manage RREs, Section 111 file responses and working with CMS Contractors to resolve technical issues.Receives and completes tasks associated with accurate data capture, reporting claims and other Medicare activities. Tracks and logs all relevant Medicare activities such as the open debt report, pre-CPN and conditional payment process.Utilizing features in MSP Navigator to gather relevant reports for distribution and escalating alerts and negative trends.Completes analysis of payment summary form as issued by Medicare in the Demand appeal process.Prepares response packages to submit to Medicare in a timely manner.Perform data clean up as needed.

Job RequirementsEducation: Bachelor’s degree or equivalent.Field of Study: Business or related field.Experience: Generally, 1 to 3 years of related experience. 

Business Unit:

Corporate Claims

Benefits:

We offer competitive healthcare, retirement, and paid time off benefits for full-time and part-time benefit eligible employees.