Claims Analyst

3 months ago

Mason, United States Bernard Nickels & Associates Full time

Type: Contract

Duration: 6 Months (with potential for extension)

Location: Mason, OH (HYBRID position; in-office 2 to 3 days per week)

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

Pay Range: $16 to $20 per hour


GENERAL FUNCTION:

The Claims Analyst is responsible for monitoring outgoing letters (and requesting additional information when necessary) and gathering data to analyze trends, with an emphasis on improving processing. This position also involves the prepayment validation of designated claims to ensure appropriate forms and additional documents have been submitted.


MAJOR DUTIES AND RESPONSIBILITIES:

• Validate the completeness of designated claims, including forms and additional necessary documentation

• Track claims that require additional information to ensure they are submitted to vendor for letter generation

• Analyze trends and report directly to Claims Manager

• Maintain effective, on-going communication within Claims Team and Manager


BASIC QUALIFICATIONS:

• Experience in Claims processing.

• Experience in Microsoft Office.

• Intermediate Level knowledge of PCs and spreadsheet applications.

• Strong communication, problem solving, teamwork and organization skills.

• Strong analytical skills and critical thinking.

• Ability to work cross functionally.


PREFERRED QUALIFICATIONS:

• Claims and/or data analysis experience.

• Knowledge of SAP BusinessObjects.

• Knowledge of Facets.

• Highly motivated self-starter.

  • Claims Analyst

    2 months ago

    Mason, United States Computech Corporation Full time

    Job Title: Claims Testing AnalystRemote or Onsite: Hybrid – 2 days a week in Mason, OH. Onsite 100% during 1-2 weeks of training.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...

  • Claims Analyst

    3 months ago

    Mason, United States Bernard Nickels & Associates Full time

    Type: ContractDuration: 6 Months (with potential for extension)Location: Mason, OH (HYBRID position; in-office 2 to 3 days per week)Schedule: Monday-Friday, 8:00am-4:30pm (40 hours per week)Pay Range: $16 to $20 per hourGENERAL FUNCTION:The Claims Analyst is responsible for monitoring outgoing letters (and requesting additional information when necessary)...

  • Claims Testing Analyst

    2 days ago

    Mason, United States Bernard Nickels & Associates Full time

    Type: ContractStart Date: ASAPEnd 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 hourGENERAL FUNCTION:Validation of base data in test environment to ensure...

  • Claims Testing Analyst

    2 days ago

    Mason, United States Bernard Nickels & Associates Full time

    Type: ContractStart Date: ASAPEnd 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 hourGENERAL FUNCTION:Validation of base data in test environment to ensure...

  • Claims Testing Analyst in Mason OH

    1 day ago

    Mason, United States Syntricate Technologies Full time

    Job Title - Claims Testing Analyst Location - Mason OH - Hybrid - 2x a week Duration - 4+ months Claims Testing Analyst Work hours: 7 to 3:30 or 8 to 4:30 pm Start date: 09/15/2024 Length of assignment: 1/30/2025 Specific Skills Needed: Top 3-5 mandatory and/or minimum requirements • Experience in Claims or Data processing / testing. • Intermediate...

  • Claims Testing Analyst

    1 month ago

    Mason, United States Kelly Services Full time

    Job DescriptionJob DescriptionThe OpportunityDescriptionWe're looking for a Claims Testing Analyst, working in the Light Industrial industry in Mason, Ohio, United States.Work with cross functional departments to ensure system isready for testing scenarios to be keyed.Validate the integrity of claims data in the EyeMed claimsand payments UAT...

  • Quality Assurance Analyst

    2 weeks ago

    Mason, United States Global Channel Management, Inc Full time

    Quality Assurance Analyst Job Overview:Position requires a flexible work arrangement with a hybrid schedule of 2 days per week.Prior experience in handling grievances, appeals, and call center operations is essential.Excellent written and verbal communication abilities are a must.A solid background in processing health-related claims is preferred.Key...