Sr. Claims Analyst - Hartford, CT
Hartford, Connecticut, États-Unis
Numéro de demande 26508
15 octobre 2024
We are seeking a highly motivated and detailed oriented Claims Analyst to join our team. This is a hybrid position requiring work in our Hartford, CT office a few days each month.
The hourly rate for this position is $17-21/hr.
As a Claims Analyst, you will play a critical role by investigating, evaluating and reviewing insurance claims to ensure accurate and timely resolution.
Key Job Role
- Reviewing Adjudicated claims:
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- Reviewing claims processing policies and guidelines.
- Reviewing provider contracts.
- Analyzing historical overpayment trends.
- Analyzing claims data to identify outliers.
- Review and access insurance claims to determine coverage, liability and eligibility.
- Validate details such as claim ID, Date of service, refund amount and reason for the overpayment from image.
- Validate claim in system and match all the information from images.
- Conduct thorough investigations, including gathering relevant documentation.
- Collaborate with internal departments, and insurance adjusters to gather necessary information.
- Calculate claims correct payment.
- Maintain detailed and accurate records of claims and related correspondence.
- Assist team members and as and when required.
- Maintain and track overpayment projects in organized and timely manner.
- Adhere to all client and company policies without exceptions.
What you'll need:
- Expertise in US Health Insurance Claims Processing
- Excellent communication skill for client interaction
- Good basic mathematics, reasoning, and interpretation skills
- Working knowledge of MS Excel for project delivery
- Basic understanding of SQL and VBA
- Experience in reporting and data analysis
Preferred Qualifications:
- US Healthcare experience
- Bachelor’s degree and equivalent work experience.
- Minimum 2-3 years’ experience in claims analysis or a related filed.
- Strong analytical and problem-solving skills
- Proficient in using claims management software and tools.
- Knowledge of insurance industry regulations and practices.
- Ability to work independently and as part of a team.
- Detail oriented with a high level of accuracy.
- Strong organizational and time management skills.
- Commitment to maintaining confidentiality and ethical standards.
Autres détails
- Type de paie À heure
- Indicateur d'emploi Regular
- Taux min. à l'embauche 17,00 $
- Taux max. à l'embauche 21,00 $
- Hartford, Connecticut, États-Unis