
TalentAlly is a recruitment platform that connects diverse talent with inclusive employers, focusing on enhancing workplace diversity and inclusion. The company offers job postings, recruitment solutions, and organizes job fairs to facilitate employment opportunities for underrepresented groups. With a recent investment of $1.3 million in artificial intelligence, TalentAlly aims to improve job matching efficiency and expand its reach to diverse communities. Their business model includes premium job postings and partnerships with various organizations to enhance recruitment efforts.

TalentAlly is a recruitment platform that connects diverse talent with inclusive employers, focusing on enhancing workplace diversity and inclusion. The company offers job postings, recruitment solutions, and organizes job fairs to facilitate employment opportunities for underrepresented groups. With a recent investment of $1.3 million in artificial intelligence, TalentAlly aims to improve job matching efficiency and expand its reach to diverse communities. Their business model includes premium job postings and partnerships with various organizations to enhance recruitment efforts.
POSITION SUMMARY/RESPONSIBILITIES
Analyze complex problems pertaining to claim payments, eligibility, other insurance, transplants and system issues that are beyond the scope of claim examiners and senior claim examiners that affect claims payment. Act as consultant to claims staff in complex claim issue resolution. Work cooperatively with Configuration in testing of contracts used in business operations and reporting to assure auto adjudication. Perform in accordance with company standards and policies. Promote harmonious relationships within own department, with other departments and within CFHP. Operate under limited supervision.
EDUCATION/EXPERIENCE
High school diploma or GED equivalent is required. Five years HMO/PPO claims experience required. Amisys claims processing system experience preferred. Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
PDN-a0fc8659-1c90-4119-a178-d0307f6d07ee