Claims Analyst I

Job Description:

Job Title: Claims Analyst I - Remote
Location: Springfield, MO.
Department: Client Financial Services
Employment Type: Full-time
Shift: Monday - Friday 8:00 A.M. - 5:00 P.M.

Job Summary:

The Claims Analyst I position is responsible for creating and maintaining queries and reports in reconciling and managing certain claim sets. Position requires intermediate technical skill, strong attention to detail, and ability to validate results.  Able to complete projects and tasks from beginning to completion with minimal to moderate support.  
 

The Claims Analyst I position offers…

• All-Inclusive Employee Benefits Package- A robust full-time employee benefits package encompassing health, dental, vision, retirement, disability, life insurance, wellness program, and more
• Telemedicine – 24/7 phone, web, or mobile app medical, behavioral health, & dermatology visits
• Employee Assistance Program – 24/7 counseling services, legal assistance, & financial consultation for you and your household at no cost
• Paid Time Off - 29 days per year including vacation & holiday pay
• Workplace Culture - An environment cultivating employee wellbeing, valuing each individual's humanity, and actively promoting healthy, joyful workforce engagement

Key Responsibilities:

• Intermediate skill level with analytic tools and programming languages.  Able to handle uncomplicated tasks and projects. 
• Developing pre-defined reporting that is not complex and does not require significant development experience.
• Strong teamwork skills and attention to detail with the ability to complete tasks and projects effectively with moderate to minimal support. 
• Strong understanding of data and analytics and the ability to turn both into useful information. 
• Research, assess, and explore data for quality and accuracy. 
• Prepare and maintain reports from single or multiple data sources as requested and based on business needs.
• Maintain deep knowledge of the organization's data and practice in order to give valuable recommendations, continuously sharpen skills, and have a positive impact on the organization's success. 
• Analyze trends in data and communicate findings to leadership or stakeholders in a meaningful and relatable way.
• Commit to continuously improve data collection.  Be sensitive to changing needs.  Organize and prioritize based on current needs.
• Functions in accordance with Operational Guidelines and within his/her professional code of ethics.
• Participates in and contributes to the various staff development activities.
• Is sensitive and responsible to management needs, such as data collection, program evaluation, development of grant applications, maintenance of various contracts for services, etc.
• Participates in all required meetings.
• Regularly participates in evaluation of self and assigned staff according to Operational Guidelines.
• Performs other special functions as may, from time to time, be outlined and attached hereto.

Experience and/or Education Qualifications:

• Bachelor's Degree or Equivalent
• Advanced Excel Skills
• 1+ year applicable experience
• Beginning level SQL, Tableau, Crystal or similar business analytic program skills.

Knowledge, Skills, and Abilities:

• Employee must possess excellent skills in communication and problem solving and possess the ability to follow direction and accept supervision.
• Possess advanced Excel skills including concatenation, VLookup, logic formulas, and pivot tables.
• Ability to identify patterns in large data sets and resolve outstanding claims.
• Moderate/minimal understanding of data and analytics and the ability to turn both into useful information.
• Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. 
• Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions, and decimals.
• Ability to understand and carry out instructions furnished in written, oral or diagram form. 
• Ability to address problems involving several concrete variables in standardized situations.
• This is a highly independent, fast-paced position working closely with all levels of the organization to gather requirements and provide status updates with all levels of the organization. 

Position Perks & Benefits:

Paid time off: full-time employees receive an attractive time off package to balance your work and personal life

Employee benefits package: full-time employees receive health, dental, vision, retirement, life, & more

Top-notch training: initial, ongoing, comprehensive, and supportive

Career mobility: advancement opportunities/promoting from within

Welcoming, warm, supportive: a work culture & environment that promotes your well-being, values you as human being, and encourages your health and happiness.

Brightli is on a Mission:

A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance user care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients.

As a behavioral and community mental health provider, we prioritize fostering a culture of belonging and connection within our workforce. We encourage applications from individuals with varied backgrounds and experiences, as we believe that a rich tapestry of perspectives strengthens our mission. If you are passionate about empowering local communities and creating an environment where everyone feels valued and supported, we invite you to join our mission-driven organization dedicated to cultivating an authentic workplace.

We are an Equal Employment Opportunity Employer.

Burrell Behavioral Health is a Smoke and Tobacco Free Workplace.