Claims Analyst
Claims Analyst
Posted on :
23-04-2024
Employer Active
1 Vacancy
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Monthly Salary
Not Disclosed
Salary Not Disclosed
Vacancy
1 Vacancy
Posted on :
23-04-2024
Job Description
Req ID : 2745721
Claims Analyst
HIGHLIGHTS
Location: Scottsdale AZ 85255
Position Type: Direct Hire
Hourly / Salary: Based on Experience
Residency Status: US Citizen or Green Card Holder ONLY
Our client is looking for an Claims Analyst to join their team!
Job Description
We are seeking a Claims Analyst to join our team in Scottsdale AZ. This inoffice position that offers the flexibility to work from home up to 2 days a week after completion of training.
.
Responsibilities:
Qualifications:
To excel in this role you'll need:
"We are GTN – The Go To Network."
HIGHLIGHTS
Location: Scottsdale AZ 85255
Position Type: Direct Hire
Hourly / Salary: Based on Experience
Residency Status: US Citizen or Green Card Holder ONLY
Our client is looking for an Claims Analyst to join their team!
Job Description
We are seeking a Claims Analyst to join our team in Scottsdale AZ. This inoffice position that offers the flexibility to work from home up to 2 days a week after completion of training.
.
Responsibilities:
- Learn clients Business Model: Understand the clients business model and the products we support under the guidance of the Claims Manager and Lead Claims Auditor.
- Effective Correspondence: Correspond accurately and timely with carriers administrators clients and brokers using approved form letters and emails with all correspondence copied to the Claims Lead.
- Claim Reports Management: Manage monthly claim reports for the administration of the assigned book of business ensuring forwarding to the appropriate carrier and following up on missing reports.
- Reimbursement Request Review: Review submitted reimbursement requests for completeness and request any missing information.
- Eligibility Documentation Approval: Obtain approval from the Claims Lead on eligibility documentation noting timeoff exceeding twelve (12) weeks before submitting a claim reimbursement request.
- Claim Submission and Tracking: Record and submit reimbursement requests to the appropriate carrier within authorized dollar authority tracking and following up on outstanding payments.
- Reimbursement Issuance: Review and issue reimbursements notifying designated contacts accurately and in a timely manner.
- Claim Tracking Logs: Maintain internal claim tracking logs to ensure accurate records.
- YearEnd Account Closure: Manage the settlement of all reimbursement requests at the end of the plan year to properly close the client’s account.
- Adaptability and Team Collaboration: Handle other duties and projects as assigned showcasing adaptability and strong collaboration skills.
Qualifications:
To excel in this role you'll need:
- Education and Experience: A college degree or equivalent work experience is strongly preferred.
- Tech Proficiency: Proficiency with Microsoft Office products (Word Excel Outlook and Teams) is preferred.
- Critical Thinking: The ability to critically think and problemsolve.
- Confidentiality: Ability to maintain strict confidentiality.
- Organizational Skills: Ability to multitask adjust to changing priorities and effectively manage time to meet deadlines.
- Communication Skills: Effective written and verbal communication skills with both internal and external parties.
- Attention to Detail and Urgency: A sense of urgency and attention to detail are necessities.
- Eager to Learn: Eagerness to learn the clients business model is a necessity.
"We are GTN – The Go To Network."
Employment Type
Full Time
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