Claims Analyst – Health, Life, & Disability
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Job Location:
Phoenix, NM - USA
Monthly Salary:
Not Disclosed
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
Claims Analyst Health Life & Disability
$60K-$80K Full time Hybrid / In-Office (101/Cave Creek) or Remote USA**
Were looking for a detail-oriented Claims Analyst who thrives on hands-on data work. Youll analyze health life and disability insurance claims to uncover trends identify cost drivers and support strategic decisions. This is an individual contributor role expect to spend significant time in Excel and SQL manage multiple projects independently and translate complex data into clear actionable insights.
Key Responsibilities
Core Qualifications
**Must be legally authorized to work in the United States without the need for employer sponsorship.
Who are we
eBacon is a financial technology software company located in Phoenix Arizona. We create a lot of innovative financial solutions for the business world with a focus on certified payroll and fringe benefit management for the construction industry. Our development team is in-house so were always creating cool new things to get the job done. We have won awards for customer service and for being one of the top companies to work for in Arizona for several years and counting.
We also have excellent benefits including competitive pay plenty of PTO health care 401K matching and fun employee outings. The work we do is serious and we work hard and take great pride in the help we give our clients but we also dont take ourselves too seriously. I mean we do have a bacon strip mascot
$60K-$80K Full time Hybrid / In-Office (101/Cave Creek) or Remote USA**
Were looking for a detail-oriented Claims Analyst who thrives on hands-on data work. Youll analyze health life and disability insurance claims to uncover trends identify cost drivers and support strategic decisions. This is an individual contributor role expect to spend significant time in Excel and SQL manage multiple projects independently and translate complex data into clear actionable insights.
Key Responsibilities
- Audit and analyze claims to ensure accurate documentation appropriate coverage determination and timely exposure identification.
- Manage all email and phone correspondence with clients and provider agents regarding assigned cases.
- Work with payors to resolve discrepancies and document outcomes.
- Extract and analyze claims data identifying trends patterns and anomalies.
- Conduct root cause analysis on claims cost drivers and utilization patterns.
- Build and maintain Excel models for claims forecasting and trend analysis using pivot tables and advanced formulas.
- Perform financial reconciliation and validate claims processing accuracy.
- Prepare and maintain reporting on open/closed claims reconciliation status outstanding risks and KPIs flagging significant deviations.
- Identify recurring issues cost-saving opportunities and recommend process improvements.
Core Qualifications
- 2-5 years of hands-on experience in claims analysis healthcare analytics or financial analysis (insurance sector preferred)
- Experience with health insurance terminology (CPT codes ICD codes EOBs etc.)
- Knowledge of claims adjudication processes and workflows
- Understanding of ERISA regulations and compliance requirements
- Advanced Excel skills including pivot tables VLOOKUP/XLOOKUP complex formulas and data modeling
- Proficiency in SQL for querying databases and manipulating large datasets
**Must be legally authorized to work in the United States without the need for employer sponsorship.
Who are we
eBacon is a financial technology software company located in Phoenix Arizona. We create a lot of innovative financial solutions for the business world with a focus on certified payroll and fringe benefit management for the construction industry. Our development team is in-house so were always creating cool new things to get the job done. We have won awards for customer service and for being one of the top companies to work for in Arizona for several years and counting.
We also have excellent benefits including competitive pay plenty of PTO health care 401K matching and fun employee outings. The work we do is serious and we work hard and take great pride in the help we give our clients but we also dont take ourselves too seriously. I mean we do have a bacon strip mascot
Required Experience:
Manager
Key Skills
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About Company
A service that manages certified payroll & Davis Bacon compliance in one easy software. Mobile time tracking, fringe management, payroll, reporting and more!
