Claims Analyst

Job Summary

A company is looking for a Claim Analyst II to evaluate claims accurately and promptly while ensuring compliance with regulations and providing excellent customer service.

Key Responsibilities

• Determine complex claim benefits based on medical records and contract language
• Analyze and process claims, communicating effectively with customers and finalizing claims
• Provide effective customer service and contribute to process improvements and service delivery enhancements

Required Qualifications

• Strong sense of urgency and accountability for work results
• Ability to adapt to a diverse and changing work environment
• Effective time management and organizational skills
• Ability to work independently or as part of a team
• Access to high-speed internet and located in the United States or Puerto Rico