Senior Claims Process Analyst

Job Summary

Supporting end-to-end claims process oversight, the full-time Senior Claims Business Process Analyst will analyze claims system utilization, conduct capacity planning, and drive process improvement initiatives while working remotely within the U.S.

Key responsibilities:

• Perform in-depth research, data analysis, and root cause analysis for claim quality remediation
• Own quality assurance activities related to payment accuracy and process improvement initiatives
• Evaluate claim scenarios to identify gaps, trends, and downstream impacts while maintaining process documentation

Required qualifications:

• High School Diploma / GED or equivalent work experience
• 2+ years of experience analyzing and solving business or customer issues
• 2+ years of experience conducting end-to-end audits
• Proficiency with Windows-based applications and ability to learn complex systems
• Facets experience