Claims Analyst

Job Summary

Responsible for the accurate adjudication and processing of medical, dental, vision, and related claims, the full-time Claims Analyst will work remotely, ensuring compliance with established guidelines and turnaround times.

Key responsibilities:

• Adjudicate and process various claims and related inquiries according to established plan documents and guidelines
• Handle correspondence and electronic inquiries for assigned groups in a timely manner
• Collaborate effectively with team members, providers, and clients to ensure smooth operations

Required qualifications:

• High School diploma or GED equivalent
• Ability to work in a fast-paced, customer-centric, and production-driven environment
• Proficiency in using MS Excel and Word
• Flexibility and openness to process improvements
• Capacity to learn new systems and adapt to various platforms