Claims Systems Configuration Analyst

Job Summary

A company is looking for a Claims Systems Configuration Senior Analyst to resolve escalated systems issues and act as a subject matter expert for claims product setups and processes.

Key Responsibilities

• Provide guidance on policies, procedures, workflows, and claims service quality
• Analyze complex business requirements to configure claim rules and monitor service standards
• Resolve non-routine issues escalated from junior team members

Required Qualifications

• High School Diploma or GED required
• 5+ years of healthcare claims lifecycle experience required
• 3+ years of advanced experience in Microsoft Access and Excel required
• 3+ years of advanced experience with SQL querying and database management systems required
• 3+ years of experience with claims adjudication and related data types required