Claims Analyst

Job Summary

A company is looking for a Phone Claims Analyst (Supplemental Health) to join their team.

Key Responsibilities

• Determine claim benefits payable based on medical information and contract language while adhering to policies and procedures
• Communicate with customers to gather claim information and explain claim handling, ensuring a positive customer experience
• Provide customer service through various channels, utilizing service recovery techniques to resolve requests effectively

Required Qualifications

• Ability to work independently and collaboratively in a team environment
• Working understanding of computer systems, including email and data entry
• Ability to assess customer needs and demonstrate flexibility in responses
• Must have access to high-speed internet and reside in the United States or Puerto Rico
• Shows a sense of urgency and accountability for work results