Montana Licensed Claims Analyst

Job Summary

Working remotely, the full-time Montana Licensed Claims Analyst will research, resolve, and process medical provider claims while ensuring accuracy and compliance in a fast-paced healthcare operations environment.

Key responsibilities

• Review, research, and resolve medical claims according to established guidelines and procedures
• Analyze claims issues and coordinate with internal departments for timely and accurate resolution
• Prepare and process claim-related documentation, including Return to Provider forms as needed

Required qualifications

• Experience in healthcare insurance, medical claims processing, or claims resolution
• Proficiency with Microsoft Office applications and ability to navigate multiple systems
• Strong analytical thinking and problem-solving skills
• Ability to multitask and prioritize work in a fast-paced environment
• Strong written and verbal communication skills for interpreting policies and procedures