Claims Testing Analyst

2 months ago


Mason, United States Bernard Nickels & Associates Full time

Type: Contract

Start Date: ASAP

End Date: 1/15/2025 (with potential for extension)

Location: Mason, OH (HYBRID; fully in-office for initial training period then 2 days per week thereafter)

Schedule: Monday-Friday, 40 hours per week (7:00am-3:30pm OR 8:00am-4:30pm)

Pay Range: $23 to $27 per hour


GENERAL FUNCTION:

Validation of base data in test environment to ensure setup complete prior to commencement of testing efforts. Claims creation and validation for client testing requests and new client implementation. The Analyst, Claims Testing will be the liaison to the Senior Analysts and Manager of the Claims Testing team to identify claims processing discrepancies due to system setup issues that require cross functional partnership and retesting.


MAJOR DUTIES AND RESPONSIBILITIES:

  • Work with cross functional departments to ensure system is ready for testing scenarios to be keyed.
  • Validate the integrity of claims data in the company's claims and payments UAT systems.
  • Track all testing defects and the status of the defect resolution through re-testing.
  • Analyze and document clear and concise testing results so there is a smooth transition to the company's claims and payments production systems.
  • Maintain effective, on-going communication within Claims Testing Team and other key departments.


BASIC QUALIFICATIONS:

  • High School Diploma or GED required; college degree preferred.
  • Experience in Claims or Data processing / testing.
  • Intermediate Level knowledge of PCs and spreadsheet applications.
  • Working knowledge of Claims Adjudication, Payments/Billing, and Data Reporting systems.
  • Strong communication, problem solving, teamwork and organization skills.
  • Strong analytical skills and critical thinking.
  • Ability to work cross functionally.
  • Ability to multitask and manage project timelines.


PREFERRED QUALIFICATIONS:

  • Claims Analysis experience.
  • Knowledge of Oracle SQL and/or Business Objects/EDW.
  • Knowledge of Facets.
  • Knowledge of SAP.
  • Highly motivated self-starter.

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