Claims Medicare Compliance Specialist

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

Preferred

someone to develop their Medicare insurance claims skills, ideally coming from operational support, data validation or compliance

Medicare Claims

Operational Support

Data Validation

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

Global specialty reinsurance providing capital and liability solutions.

Hamilton, Hamilton, BMU

http://www.compre-group.com/

Founded in 1991

201-500 employees

Qualifications

strong Excel skills

attention to detail

the ability to manage priorities in a regulated environment

some Medicare experience or knowledge

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

Required skills

Represents the skills you have, click on the tags, Medicare Claims

Experience

Mid level