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Essential Job Functions and Duties:
- Researches requests for review of resolvable claims from providers.
- Compiles information related to member appeals that request an Executive Review.
- Maintains current data on appeals and resolvable claims.
Required Experience:
- High School diploma, and one (1) year of progressively responsible experience performing a variety of technical and administrative duties; or an equivalent combination of education and experience.
- PEHP experience is preferred.
Knowledge, Skills, and Abilities:
- Working knowledge of Microsoft Office Suite.
- Working knowledge of Calculating figures and amounts such as discounts and percentages.
- Read and interpret documents, such as plan policies.
PEHP Health & Benefits
PEHP Health & Benefits is a division of the Utah Retirement Systems that serves Utah’s public employees through competitively priced medical, dental, life, and long-term disability insurance plans on a self-funded basis. They embrace both a public mission and a commitment to creating customer value.