Claims Analyst

Job Summary

Claims Analyst is a full-time remote position responsible for the accurate adjudication and processing of medical, dental, vision, or related claims, ensuring compliance with established guidelines and turnaround times.

Key Responsibilities

• Review, analyze, and interpret claim forms and related documents to determine benefit coverage
• Investigate, pend, and refer claims based on established procedures and guidelines
• Support internal departments and communicate with various stakeholders to ensure proper claim processing

Required Qualifications

• High School diploma or GED equivalent
• Ability to work in a fast-paced, customer-centric environment
• Ability to learn new systems and effectively use MS Excel/Word
• Flexible and open to continued process improvement
• 1 year of health insurance experience preferred