Job Summary
An employee benefits provider has a current position open for a Remote Senior Claims Analyst.
Core Responsibilities Include:
- Resolving client, employee/member, or provider issues
- Handling claim referrals, including pre-determinations
- Determining benefit coverage based on system plan and clinical edits
Must meet the following requirements for consideration:
- Minimum three years of medical claim processing experience
- Ability to use common sense understanding to carry out instructions
- Ability to read, analyze and interpret documents and Summary Plan Descriptions (SPDs)
