Claims Medicare Compliance Specialist

Compre Group; Manchester (NH, CT); Remote; USD 70,000 - 90,000; Full time

Benefits offered by this job

Flex First

Remote worker expenses

Health insurance

Dental & Vision insurance

401k with company match

Life Insurance

Time off

Job summary

Compre Group in the United States seeks a Claims Medicare Compliance Specialist to support Medicare reporting and compliance across North America. This is a full-time role with remote work options and opportunities for professional growth.

You will collaborate with Claims teams, TPAs and vendors to maintain accurate data, prepare CMS submissions, investigate reporting exceptions, and help drive data-quality initiatives while pursuing Medicare accreditation as part of your development.

Qualifications

• Strong Excel skills and attention to detail in a regulated environment.
• Medicare experience or knowledge is essential.
• Willingness to pursue Medicare accreditation or qualification.

Responsibilities

• Maintain accurate claim data and run Medicare queries.
• Prepare records for CMS submissions and investigate reporting exceptions.
• Collaborate with claims teams, TPAs and vendors to resolve issues and support data-quality reviews.

Skills

Excel

Medicare knowledge

Job description

Claims Medicare Compliance Specialist

Department: Claims

Employment Type: Full Time

Location: USA (New Hampshire / Remote)

Description

Claims Medicare Compliance Specialist

North America Remote

remote East Coast

full-time

We are a fast-growing global reinsurance speciality company servicing the insurance markets of Lloyd’s, Europe and North America.

Due to growth, we’re now looking for our first dedicated Medicare specialist to support Medicare reporting and compliance activity.

Key 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.

Candidate requirements

This is an excellent development opportunity for someone to develop their Medicare insurance claims skills, ideally coming from operational support, data validation or compliance. You’ll need strong Excel skills, attention to detail and the ability to manage priorities in a regulated environment.

Having some Medicare experience or knowledge is essential. We’ll support you to build your knowledge and complete a relevant Medicare accreditation or qualification as part of your development in the role.

Benefits

Fulfil your potential in a collaborative environment with some of the best talent in the industry, while enjoying:

• Flex First
• Empowering employees to thrive in any location. Our innovative Flex First approach enables employees to perform to their full potential, regardless of their location, while fostering a sense of community through regular events and collaboration.
• Benefits
• Competitive salary and bonus eligible
• Medical, EAP, dental, & 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
• Personal Development
• Advancing your professional development through ongoing learning opportunities.
• Time Off
• Generous vacation and holiday schedule STD & LTD coverage