Claims Analyst

This is a fully remote position, open to applicants in Alaska, +3 more states.

📋 Description

• Evaluate health, life, and disability claims.

• Review claims and carry out investigations.

• Utilize analytical, organizational, mathematical, and decision-making skills in claims processing.

• Oversee and track multiple assignments while adhering to deadlines.

• Employ Word, Excel, Outlook, and specialized systems.

• Adjust to different system platforms and enhancements in process.

• Make informed decisions with minimal oversight.

• Work collaboratively with team members, employees/members, providers, and clients.

• Contribute to a customer-focused, production-oriented claims operation.

⛳️ Requirements

• High School diploma or GED equivalency.

• Capability to thrive in a fast-paced, customer-focused, and production-driven environment.

• Strong verbal and written communication abilities.

• Proficient in collaborating effectively with team members, employees/members, providers, and clients.

• Capacity to follow oral, written, or diagrammed instructions using practical judgment.

• Adaptable and open to ongoing process enhancements.

• Ability to learn new/proprietary systems, adjust to various platforms, and proficiently use MS Excel/Word.

• Preferred: One year of experience in Health Insurance.

• Preferred: Experience with Self-Funded Insurance/Benefits and/or TPA.

• Preferred: Understanding of medical procedure and diagnosis coding.

• Preferred: Familiarity with medical terminology.

• Preferred: Knowledge of Summary Plan Documents (SPDs)/Insurance Booklets or similar benefit descriptive materials.

• Comprehension of claims examination processes.

• Strong investigative, analytical, and organizational skills with a keen eye for detail.

• Excellent math and decision-making capabilities.

• Ability to operate in a deadline-oriented, fast-paced setting.

• Self-driven with a high capacity for learning.

• Outstanding verbal and written communication skills.

• Strong time management skills and the ability to prioritize tasks effectively while managing multiple responsibilities.

• Ability to make decisions with minimal supervision.

• Capacity to adapt to change and shift focus in a dynamic environment.

• Commitment to teamwork and collaborative work ethic.

• Effective use of personal computers and related software.

• Proficient in Word, Excel, and Outlook.

• Preferred: Bachelor's degree in a medical and/or business discipline.

• Preferred: Knowledge in Life and/or Disability claims.

• Preferred: Familiarity with medical terminology.

• Preferred: Understanding of Summary Plan Documents (SPDs)/Insurance Booklets or other benefit descriptive resources.

• Preferred: Proficiency in Microsoft Access.

🏝️ Benefits

• Health and wellness benefits.

• 401(k) savings plan.

• Pension plan.

• Paid time off.

• Paid parental leave.

• Disability insurance.

• Supplemental life insurance.

• Employee assistance program.

• Paid holidays.

• Tuition reimbursement.

• Other incentives.

• Annual incentive bonus plan.