Benefits and Claims Analyst

4 days ago


Philadelphia, Pennsylvania, United States Disability Solutions Full time

Job Description

Innova Solutions is seeking a Benefits and Claims Analyst to join our team. As a Benefits and Claims Analyst, you will be responsible for analyzing and resolving benefits and claims issues. This role requires strong analytical and problem-solving skills, as well as excellent communication and interpersonal skills.

The ideal candidate will have a minimum of 4 years' relevant experience in benefits and claims, with a strong understanding of auditing and quality review processes. Experience with HealthRules Manager/Designer and HealthEdge applications is preferred.

As a Benefits and Claims Analyst, you will analyze and resolve benefits and claims issues, participate in pre and post implementation audits of client benefits and setup, and assist the configuration team with building benefit plans. You will also be responsible for reviewing claims and systems to validate benefit setup accuracy and documenting and reviewing audit results to ensure benefits are compliant with set up requirements and client's contracted benefits.

Our Company

Innova Solutions is a leading provider of technology and business transformation solutions. With over 50,000 professionals worldwide and annual revenue approaching $3 Billion, we deliver strategic solutions to our clients, enabling them to operate as leaders within their fields. We are committed to diversity and inclusion in the workplace and are an equal opportunity employer.



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