Claims Analyst

The Claims Analyst is responsible for reviewing, analyzing and processing medical and/or dental claims. This role is responsible for analyzing claims from first submission and processing them to the final payment while maintaining complete accuracy, production and quality standards.

Responsibilities

Analyzing/Processing

• Gain and maintain the understanding of the plan designs and effectively apply that knowledge.
• Analyze claims as appropriate from first submission to finalizing.
• Maintain complete and accurate processing.

Teamwork

• Work cooperatively with other team members
• Actively participate in team meetings and training activities.
• Perform additional responsibilities and projects as periodically assigned.