Claims Analyst

Acrisure is a global fintech leader empowering millions of ambitious businesses and individuals with tailored solutions across insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services, and more. With revenue growth from $38 million to nearly $5 billion in twelve years, Acrisure employs over 19,000 colleagues in more than 20 countries. SBMA, a third-party administrator under Acrisure, simplifies employee benefits for thousands of employers through personal service, rapid implementation, and innovative coverage approaches.

About the role

The Claims Analyst is essential to SBMA’s Claims department, managing and processing claims across all workflow queues to meet company turnaround times (TATs). This role involves timely review and reprocessing of claims, administrative support, and ensuring efficient claims operations.

Responsibilities

• Process claims in designated workflow queues.
• Reprice claims using Reference Based Pricing (RBP) and Qualifying Payment Amount (QPA).
• Review processed claims and reprocess when necessary.
• Generate daily and weekly claims reporting.
• Handle stop pay, void, and reissue of payments.
• Back up group claims report requests.
• Maintain Axos claims check records.
• Perform electronic provider payment reconciliation.
• Other responsibilities as needed.

Requirements

• Excellent verbal and written communication skills.
• Proficiency in HealthPac software.
• Strong interpersonal and customer service skills.
• Proficiency in Microsoft Office Suite or related software.
• Excellent organizational skills and attention to detail.
• Basic understanding of clerical procedures and record-keeping.
• Ability to work independently.

Qualifications

• High School diploma (Bachelor’s degree preferred).
• 2+ years of HealthPac experience.
• 2+ years of medical claims adjudication experience.

Pay

The base compensation range for this position is $25–$32 per hour. Placement within the range depends on skills, experience, qualifications, location, and internal equity.

Benefits

• Physical Wellness: Comprehensive medical, dental, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time.
• Mental Wellness: Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription.
• Financial Wellness: Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs.
• Family Care: Paid maternity and paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.

Eligibility and waiting periods may apply. Benefits vary by subsidiary entity and geographic location.