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Claims Analyst

Posted: March 08, 2024
Salary:US$22.00 - US$23.00 per hour
Location:Hunt Valley
Job type: Contract
Work Location:Hybrid

Job description

  • Claims processing for manually submitted claims, including all associated tasks and benefit eligibility verification and determining the appropriateness of such claims.
  • New Group Setup
  • Plan Year Setup
  • Check printing and mailing
  • Per occurrence review and allocation
  • Facilitate internal and external audit requests.
  • Enrollment maintenance
  • Letter creation, printing and mailing (denials, repayments, RX sub & per occurrence)
  • Client setup and implementation for new groups and/or new products and services. Includes client coordination, internal setup and carriers.
  • Processing, entering and synchronizing participant enrollments
  • Updating contributions to CDH accounts to ensure proper funding
  • RX claims substantiation and related tasks such as claim identification, member communication and closing of said claims
  • Update and maintain member information across all systems and databases
  • Reporting for internal and external users
  • Such other duties or tasks to assist the department of organization as the supervisor may deem necessary.
Other notes on the position: They are looking for an independent, self motivated individual that will hit the ground running and wants to learn!
  • They will be assigned to workload claims that include: medical, mental health, durable, prescription claims, etc.
  • Need to be okay working alone - this is mostly independent work
  • Successful employees in this role have an administration background and are meticulous/pay attention to details
Must Have Skills/Qualifications
  • Must be proficient in MS Word, Excel, and Outlook
  • Excellent verbal and written communication skills required
  • Must be able to work in a fast-paced environment with demonstrated ability to handle multiple task
  • Strong attention to detail
  • Insurance knowledge
Rewards/Perks of the Opportunity:
We are not your typical insurance company!
  • They care for their employees
  • Work hard, play hard mindset
  • Coffee / snacks in the kitchen
  • They have bowling nights, holiday parties, happy hours, etc.
  • Being a name and not a number
  • Great work family culture
  • Very robust training