Medical Bill Review Operations Analyst

3 weeks ago


Schaumburg, Illinois, United States Zurich Insurance Company Ltd. Full time

Zurich North America is hiring a Medical Bill Review Operations Analyst to join our team This position will report on a hybrid work schedule from our North America headquarter office located in Schaumburg, Illinois.

At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes to choosing your next career move. Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims employees to conduct individual work in their preferred location, while facilitating in-person connections and collaborative activities when meaningful and valuable. While the model provides a high level of flexibility and autonomy, occasional circumstances requiring in-office attendance should be expected. The candidate selected for this opportunity should be able to report into one of the following North American Claims offices: Schaumburg, Illinois.

In this role you will be responsible for:

  • Provide expertise on medical bill review processes
  • Research inquiries and/or complaints
  • DOIs
  • NY process
  • State/Legal, Complex Bills, analysis for NY process
  • Management escalations
  • Communication to management
  • Back-up for various internal controls
  • Field audit rebuttals

Basic Qualifications:

  • Bachelors Degree and 2 or more years of experience in the Bill Review area

    OR
  • Associate Degree and 3 or more years of experience in the Bill Review area

    OR
  • High School Diploma or Equivalent and 4 or more years of experience in the Bill Review area

    AND
  • Customer Service experience
  • Experience reviewing and ensure medical bills are processed in accordance with the appropriate national/local areas workers compensation and medical fee guidelines

Preferred Qualifications:

  • Excellent communication skills
  • Detail oriented
  • Strong organizational skills
  • Ability to provide expertise and provide guidance to team members and business partners
  • Advanced Microsoft Office skills
  • Ability to multi-task to multi-task and adapt to a changing environment
  • Ability to collaborate across work groups



As a condition of employment at Zurich, employees must adhere to any COVID-related health and safety protocols in place at that time ).

A future with Zurich. What can go right when you apply at Zurich?

Now is the time to move forward and make a difference. At Zurich, we want you to share your unique perspectives, experiences and ideas so we can grow and drive sustainable change together. As part of a leading global organization, Zurich North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is a leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We serve more than 25 industries, from agriculture to technology, and we insure 90% of the Fortune 500. Our growth strategy is not limited to our business. As an employer, we strive to provide ongoing career development opportunities, and we foster an environment where voices are diverse, behaviors are inclusive, actions drive equity, and our people feel a sense of belonging. Be a part of the next evolution of the insurance industry. Join us in building a brighter future for our colleagues, our customers and the communities we serve. Zurich maintains a comprehensive employee benefits package for employees as well as eligible dependents and competitive compensation. Please click here to learn more.

As a global company, Zurich recognizes the diversity of our workforce as an asset. We recruit talented people from a variety of backgrounds with unique perspectives that are truly welcome here. Taken together, diversity and inclusion bring us closer to our common goal: exceeding our customers' expectations. Zurich does not discriminate on the basis of age, race, ethnicity, color, religion, sex, sexual orientation, gender expression, national origin, disability, protected veteran status or any other legally protected status. EOE disability/vet

Zurich does not accept unsolicited resumes from search firms or employment agencies. Any unsolicited resume will become the property of Zurich American Insurance. If you are a preferred vendor, please use our Recruiting Agency Portal for resume submission.

Location(s): AM - Schaumburg

Remote Working: Hybrid

Schedule: Full Time

Employment Sponsorship Offered: No

Linkedin Recruiter Tag: #LI-MD1 #LI-ASSOCIATE #LI-HYBRID



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