Our healthcare client is looking to bring on a Healthcare Claims Analyst to assist in processing claims, interpret plan descriptions and reconcile disputes and issues. This role will have many moving parts and will cause for a fast paced work enviroment.
Medical/HRA/Dental/Vision/Flex/STD/COBRA self insured claims processing.
Develop and strengthen relationships with clients through call resolution.
Process high - dollar claims.
Investigate and challenge apparent discrepancies.
Prepare accurate rebate reports for management and other stakeholders, including forecasting and accruals.
Review and respond to member and provider discrepancies.
Exhibit ownership and accountability for all projects and internal assignments.
Additional tasks as needed.
Bachelor’s degree preferred or High School Diploma with equivalent work experience.
3 years of experience processing fully funded and/or self- insured claims.
Knowledge of trends and regulations of the industry.
Proficient in Microsoft Office Suite.
Please apply today at ajilon.com. For immediate consideration please email your resume to firstname.lastname@example.org
Equal Opportunity Employer/Veterans/Disabled
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