Claims Research Analyst

A company is looking for an Analyst, Claims Research (Remote).

Key Responsibilities

Conducts research and analysis on claims to address issues and support high-priority inquiries

Interprets and presents claims research findings to leadership and operations teams

Manages major claims projects and collaborates with stakeholders to improve claims processing efficiency

Required Qualifications

At least 3 years of medical claims processing experience or equivalent education and experience

Experience with medical claims processing across multiple states and claim types

Knowledge of claims processing related to Medicare, Medicaid, and Marketplace programs

Data research and analysis skills

Proficiency in Microsoft Office suite, including Excel