Claims Analyst I

What Would Make You The Best Fit

• You have a strong background in processing claims and determining that a client’s benefits are correctly applied.
• You have demonstrated expertise in ensuring claims are coded accurately to support proper billing and data analysis.
• You have reviewed claims for prior authorization and member eligibility.
• You have a history of consistently providing a high-quality level of claims service to clients.
• You feel confident in your ability to run reports on accounts to assist in backlog management.
• You don’t hesitate to engage in outreach to obtain information needed to complete claims processing. You can make outbound calls to members and/or providers.
• You can provide backup support to the processing team in order to run our operations smoothly and efficiently.

You Will Stand Out If You

• Have a minimum of an associate degree or 2 years of claims experience.
• Have excelled in a call center.
• Have knowledge of/experience in the self-funded health insurance industry.
• Possess a solid working knowledge of Microsoft Office, particularly Excel.
• Are exceptional in your phone etiquette and can demonstrate strong communication skills.
• Consider yourself to be an active listener.
• Have exceptional problem-solving ability. You devote time, effort, and resources to figuring out effective solutions.
• Have values that align with ours: optimism, respect, growth, adaptability, and building long-term, meaningful relationships.

What We Can Provide To You

• Competitive salary and full benefits package including medical, dental, vision, 401k, generous PTO, and a host of voluntary benefits.
• A friendly, vibrant environment focused on continuing learning and development.
• Bright, open, modern office space designed for meaningful interaction.
• Casual dress code.
• Hybrid work schedule.
• The opportunity to continue to grow and shape your career with a leader in the industry.

Located in Feasterville-Trevose, PA, 19053