Claims Research Analyst

Job Summary

A company is looking for an Analyst, Claims Research.

Key Responsibilities

• Conducts research and analysis to address claims issues and support high-priority inquiries
• Interprets and presents claims research findings to leadership and operations teams
• Manages major claims projects and collaborates with stakeholders to improve claims processing efficiency

Required Qualifications

• At least 3 years of medical claims processing experience or equivalent education and experience
• Experience with claims processing across multiple states and various claim types
• Knowledge of claims processing related to Medicare, Medicaid, and Marketplace programs
• Data research and analysis skills
• Proficiency in Microsoft Office suite, including Excel