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Claims Analyst
4 months ago
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.
