Claims Research Analyst

Job Summary

A company is looking for an Analyst, Claims Research to serve as a claims subject matter expert and manage complex claims projects.

Key Responsibilities

• Conduct research and analysis for high-priority claims projects
• Identify and remediate claims processing issues to reduce re-work
• Interpret and present in-depth analysis of claims research findings to leadership

Required Qualifications

• Associate's degree or equivalent combination of education and experience
• 1-3 years claims analysis experience
• 5+ years medical claims processing experience across multiple states and claim types
• Familiarity with various concepts, practices, and procedures related to claims
• Knowledge and experience using Excel