Texas Licensed Claims Quality Analyst

Job Summary

A company is looking for a Claims Quality Analyst in Texas.

Key Responsibilities

• Review medical reports to ensure completeness and accuracy, addressing client questions
• Communicate with clients and reviewers for clarifications and updates on referral progress
• Ensure reports adhere to quality assurance standards and are formatted correctly

Required Qualifications

• Preferred Associate's Degree or Bachelor's Degree
• Business experience in a healthcare and/or insurance setting is preferred
• Experience with NY Workers Compensation is preferred
• Operations experience with Peer Review, UR, and/or case management
• Computer literacy and typing skills are essential