Claims Analyst

Job Summary

A company is looking for a Claims Analyst I to review claims for compliance with established policies and procedures.

Key Responsibilities

• Review and release pended claims
• Process member receipts and assist in manual claim entry and member reimbursement
• Complete claims adjustments and meet quality and production standards

Required Qualifications

• High school diploma or equivalent
• 6 months of claims processing experience, including knowledge of eligibility and ICD10/CPT codes
• Solid computer skills
• Experience working in a production-driven environment