Claims Analyst

Job Summary

To enhance claims processing efficiency, the full-time remote Claims Analyst III will implement and audit claims processes, resolve discrepancies, and provide mentorship to junior team members.

Key responsibilities

• Reviews claims for irregularities, accuracy, and completeness
• Coordinates documentation and resolves invoice disputes for account payments
• Handles complex claims issues and provides leadership to junior staff

Required qualifications

• Bachelor's Degree required
• Five (5) plus years of experience in claims processing
• Strong understanding of claims eligibility and decision-making
• Intermediate proficiency in Microsoft applications (Word, Excel, Outlook)
• Ability to accurately type 35 words per minute and use 10-key