Healthcare Claims Analyst

  • Location
    Grand Rapids, Michigan
  • Category
    Health Care - General
  • Job reference:
    US_EN_7_843350_2830903
  • Salary:
    $ 15 - $ 21
  • Job Type
    Contract/Temp to Hire

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.
  •  

    REQUIREMENTS

  • 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 amaka.mozie@ajilon.com



    Equal Opportunity Employer/Veterans/Disabled

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    The Company will consider qualified applicants with arrest and conviction records

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