Claims Analyst

Immediate need for a talented Claims Analyst. This is a 06+ Months Contract opportunity with long-term potential and is located in FL, MD, OH, DE, CT, NH, MA (Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID:25-70110

Pay Range: $19.07 - $20.07/hour.  Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
 
Key Responsibilities:

• Organize and work with detailed office or warehouse records, using a computer to enter, access, search and retrieve data. 
• Provide customer service, such as giving limited instructions on how to proceed with claims or providing referrals to other facilities or contractors. 
• Review claims to determine whether the claimant is covered under a policy, review policy to determine coverage, and evaluate the extent of a settlement. 
• Authorize claim payments, set reserves on payments, ensure timely disbursement of funds, coordinate or conduct investigations on claims, identify claims with possible recovery from third parties. 
• The individual will need to be able to multi-task; some days the workload may require splitting a day’s work with different tasks.
• Work on adjusted claims via our Track-It and Risk Manager application, apply refund checks, projects (identified larger volume of adjusted claims maybe from the same office and/or same issue), and reports.
• Items should be completed prior to closing out days on Mondays and Wednesdays.
• Individuals must meet quality of 97% and production of 100% 
• The employee will be introduced to the team, go over applications/systems, complete online onboarding courses, compliance trainings, and have training sessions schedule for each individualized assignment.

Key Requirements and Technology Experience:

• Skills-Claims Processing
• Medical Terminology
• Health Insurance Knowledge
• Excel (experience with VLookup and pivot tables)
• High school diploma or GED required. Bachelor’s degree in business or related field is preferred. 
• 2-4 years’ experience required.

Our client is a leading Healthcare Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
 
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