DXC Technology Insurance/Healthcare Representative in Tucker, Georgia
DXC Technology (NYSE: DXC) is the world’s leading independent, end-to-end IT services company, helping clients harness the power of innovation to thrive on change. Created by the merger of CSC and the Enterprise Services business of Hewlett Packard Enterprise, DXC Technology serves nearly 6,000 private and public-sector clients across 70 countries. The company’s technology independence, global talent and extensive partner alliance combine to deliver powerful next-generation IT services and solutions. DXC Technology is recognized among the best corporate citizens globally.
Job Description: The Insurance/Healthcarejob family contains positions associated with providing consultancy utilizing knowledge and expertise on insurance and healthcare. Develops and implements general insurance and health policies in accordance with state and federal laws. Provides expertise to investigate and adjudicate claim characteristics that do not match policy provisions. Responds to provider appeals and meets with providers to resolve problems/issues. Provides directions for utilization review. Approves any remedial or recoupment actions associated with escalated claims. Advises provider review councils, state officials and works with organized healthcare groups and associations on various medical issues related to insurance and healthcare programs.
Actively participates as a key member of the team in a team lead capacity and/or in a Subject Matter Expert (SME) capacity. Delegates tasks and directs team activities.
Completes complex tasks and defined processes. Suggests creative solutions.
Multiple complex assignments are worked, completed, and led simultaneously with little to no input from leadership.
Define and document team processes and procedures.
Identifies, prioritizes, resolves issues, and communicates directions to others. Answers questions of peers.
Interpret and provides recommends for all and contract requirements, business rules and related industry and legal regulations
DXC Technology is EEO F/M/Protected Veteran/ Individual with Disabilities