Senior Claims Analyst

This is a fully remote position, open to applicants in United States.

📋 Description

• Gather and assess claim data to determine life and disability benefits in compliance with policy guidelines and relevant state and federal regulations.

• Calculate benefit disbursements and convey claim outcomes for both new and ongoing claims.

• Deliver prompt and compassionate customer service.

• Provide guidance to team members on claims processing protocols.

⛳️ Requirements

• High School diploma or GED equivalent.

• A minimum of 3 years of experience in medical claim processing.

• Capability to thrive in a dynamic, customer-focused, and productivity-oriented environment.

• Strong verbal and written communication abilities.

• Proficient in collaborating with employees/members, providers, clients, and various levels of colleagues.

• Proven critical thinking skills.

• Adaptable and open to ongoing process enhancements.

• Self-motivated individual who operates well with minimal oversight.

• Strong leadership, organizational, and interpersonal skills.

• Skilled in managing complex situations and achieving resolutions.

• Competent in analyzing and interpreting documents and Summary Plan Descriptions (SPDs).

• Ability to adjust to various system platforms and effectively utilize MS Excel/Word.

🏝️ Benefits

• Health insurance.

• 401(k) savings plan.

• Pension plan.

• Paid time off.

• Paid parental leave.

• Disability insurance.

• Supplemental life insurance.

• Employee assistance program.

• Paid holidays.

• Tuition reimbursement.

• Annual incentive bonus plan.