Job Summary

A company is looking for a Claims Configuration Analyst.

Key Responsibilities:

• Assist in the evaluation, design, testing, and configuration of claims business rules
• Analyze explanation of coverage documents to determine the best approach for configuring benefits
• Collaborate with departments to gather claims configuration requirements and provide feedback on feasibility

Required Qualifications:

• Strong analytical skills
• Ability to perform complex claims business rules set up requirement analysis
• Experience in claims configuration and system functionality
• Knowledge of medical policy and claims payment processes
• Ability to analyze data and resolve operational obstacles