Medical Claims Analyst

• Performs reviews and processing of claims to insurance carriers for payment to ensure accurate and timely claim submissions
• Maintains, enters, and organizes all claims reporting, communications, and discovery on claims
• Conducts analysis and conflict resolution to identify any errors or inconsistencies on initial claims submissions
• Handles correspondence, claims, and referrals in the established timeframes and performance guarantees
• Drafts first notice of claims, preservation of evidence letters, and email holds for litigation holds
• Provides communication to and from Operations and other support departments for escalation of service-impacting issues
• Prepares presentations and proposals to internal and external clients
• Evaluates methods/processes after listening to customers and gathering feedback
• Presents status updates, issues and risks, and solutions to senior management, stakeholders, and partners

• 2-5 years work experience
• Adept at problem solving and decision making skills
• 2+ years claim ACAS Medical claim processing experience and demonstrated ability to handle multiple assignments competently, accurately and efficiently
• High School Diploma or G.E.D.

Excel experience

• Affordable medical plan options
• 401(k) plan (including matching company contributions)
• Employee stock purchase plan
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
• Paid time off
• Flexible work schedules
• Family leave
• Dependent care resources
• Colleague assistance programs
• Tuition assistance
• Retiree medical access