Claims Processor

Job Overview:

Marpai Health, a pioneering technology company in the Third-Party Administration sector, seeks an experienced Claims Analyst to join its dynamic team. As a key member of our Claims Team, you will play a crucial role in ensuring the timely, accurate, and compliant processing of claims.

About the Position:

We are expanding our Claims Team, and this is an exciting opportunity for a skilled professional to take on new challenges and contribute to our mission of delivering exceptional service to clients and stakeholders.

Key Responsibilities:

• Analyze and adjudicate claims accurately, ensuring compliance with company policies and regulatory requirements.
• Input claims data into the system, maintaining attention to detail and ensuring all information is complete and correctly recorded.
• Validate claim information, addressing discrepancies or missing data, and providing clear communication to stakeholders.
• Apply benefits in accordance with plan documents, ensuring correct processing of claims and minimizing errors.
• Collaborate with leadership to identify emerging trends and issues within the claims process, driving improvements in operational efficiency.
• Demonstrate professionalism, composure, and adaptability in a fast-paced work environment, meeting critical deadlines and prioritizing multiple assignments.
• Exhibit strong analytical, research, and communication skills, presenting complex information clearly and effectively.
• Stay up-to-date on industry knowledge, establishing yourself as a subject matter expert and contributing to team productivity and performance.

Requirements:

• Associate's degree, preferred
• 2+ years claim processing experience
• Strong analytical, research, and communication skills, with the ability to synthesize complex information and present it clearly.
• In-depth knowledge of medical terminology, enabling accurate claim analysis and adjudication.
• Exceptional verbal and written communication skills, coupled with outstanding organizational abilities.
• Collaborative mindset, with a strong sense of ownership and commitment to completing tasks with follow-through.
• Ability to manage a high volume of work, solve complex problems, and prioritize multiple assignments while meeting critical deadlines.
• Knowledge of HIPAA regulations and a commitment to maintaining compliance with privacy and security standards.

Benefits:

• Competitive salary: $19.00-$22.00 per hour DOE
• Generous PTO and holiday package
• Comprehensive health insurance, including medical, dental, and vision
• Health and wellness programs
• EAP (Employee Assistance Program)
• FSA / HSA / Dependent Care
• Pet insurance
• 401k with employer match
• LegalShield
• Identity Theft Protection

Why Work at Marpai Health?

We offer a dynamic work environment, opportunities for growth and development, and a comprehensive benefits package. If you are a motivated and detail-oriented individual with a passion for delivering exceptional service, we encourage you to apply.