Claims Engineer

Claims Engineer

We are seeking a skilled and detail-oriented Claims Engineer to join our team. The successful candidate will be responsible for managing and analyzing claims using the Impact software. This role requires a strong technical background, excellent analytical skills, and the ability to communicate effectively with various stakeholders. Due to client requirement, applicants must be willing and able to work on a W2 basis. For our W2 consultants, we offer a great benefits package that includes medical, dental, and vision benefits, 401k with company matching, and life insurance. Pay Rate : $55-$65 / hr. W2.

Responsibilities

Claims Management : Analyze and process claims using the Impact software, ensuring accuracy and compliance with company policies and industry regulations.

Integrations - working with 3rd parties on integrations between the tool and the payor / providers

Data Analysis : Utilize Impact to extract and analyze data, identifying trends and potential areas for improvement in claims processing.

Reporting : Generate detailed reports on claims status, trends, and outcomes using Impact, and present findings to management and other stakeholders.

Collaboration : Work closely with other departments, such as underwriting and customer service, to resolve claims issues and improve processes.

Documentation : Maintain accurate and up-to-date records of all claims activities and communications in the Impact system.

Continuous Improvement : Identify opportunities to enhance claims processing efficiency and effectiveness, and implement solutions in collaboration with the team.

Experience Requirements

Education : Bachelor's degree in Engineering, Business, or a related field.

Experience : Minimum of [X] years of experience in claims management or a related field, with proficiency in using the Impact software.

Technical Skills : Strong analytical skills and proficiency in data analysis tools. Experience with Impact software is required.

Communication Skills : Excellent verbal and written communication skills, with the ability to convey complex information clearly and concisely.

Problem-Solving : Strong problem-solving skills and the ability to make decisions based on data analysis.

Attention to Detail : High level of attention to detail and accuracy in managing claims and data.

Skills, experience, and other compensable factors will be considered when determining pay rate. The pay range provided in this posting reflects a W2 hourly rate; other employment options may be available that may result in pay outside of the provided range.

W2 employees of Eliassen Group who are regularly scheduled to work 30 or more hours per week are eligible for the following benefits : medical (choice of 3 plans), dental, vision, pre-tax accounts, other voluntary benefits including life and disability insurance, 401(k) with match, and sick time if required by law in the worked-in state / locality.

Please be advised- If anyone reaches out to you about an open position connected with Eliassen Group, please confirm that they have an Eliassen.com email address and never provide personal or financial information to anyone who is not clearly associated with Eliassen Group. If you have any indication of fraudulent activity, please contact InfoSec@eliassen.com.

Eliassen Group is a leading strategic consulting company for human-powered solutions. For over 30 years, Eliassen has helped thousands of companies reach further and achieve more with their technology solutions, financial, risk & compliance, and advisory solutions, and clinical solutions. With offices from coast to coast and throughout Europe, Eliassen provides a local community presence, balanced with international reach. Eliassen Group strives to positively impact the lives of their employees, clients, consultants, and the communities in which they operate. Eliassen Group is an Equal Opportunity / Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.

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