Claims Research Associate

Job Summary

A company is looking for an Associate Analyst, Claims Research.

Key Responsibilities

• Reviews and analyzes claims-related issues submitted by providers to identify potential root causes
• Triages issues based on type and complexity, assigning them to the appropriate department for further research
• Maintains detailed records of claim reviews and resolutions while identifying trends for process improvements

Required Qualifications

• At least 1 year of experience in claims processing or operations or equivalent education and experience
• Basic knowledge of medical billing and claims processes
• Proficiency in Microsoft Office suite/applicable software programs
• Ability to work independently and as part of a team
• Familiarity with industry regulations and compliance standards is preferred