1 день назад
Senior Claims Analyst (Life & Disability)
18 - 34$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Senior Claims Analyst (Life & Disability): Analyzing medical, life, and disability claim information, determining benefit eligibility, calculating payments, and communicating claim decisions with an accent on policy interpretation, regulatory compliance, and accurate claims processing. Focus on investigating complex claims, interpreting plan documents, making decisions with minimal supervision, and resolving customer and provider inquiries.
Location: Overland Park, Kansas, United States
Compensation range: $18.07–$33.92; annual incentive bonus plan applies.
Company
operates in the healthcare benefits and insurance sector, with a focus on making healthcare simpler, better, and more affordable.
What you will do
- Process and adjudicate medical, dental, vision, life, and disability claims according to plan documents and established guidelines.
- Investigate claim information and make life and disability benefit determinations in accordance with policy provisions and applicable laws.
- Calculate benefit payments and communicate decisions on new and continuing claims.
- Prepare related correspondence and respond to electronic inquiries from members, providers, clients, and internal teams.
- Support claim unit and vendor administrative and technical activities while advising team members on claim processing procedures.
- Act as a liaison between claims staff and internal departments to resolve complex situations.
Requirements
- High school diploma or GED equivalent.
- At least three years of medical claim processing experience and/or life or disability claim administration experience.
- Strong analytical, mathematical, critical-thinking, decision-making, organizational, and problem-solving skills.
- Ability to analyze and interpret policy documents and Summary Plan Descriptions.
- Excellent verbal and written communication skills with a customer-focused approach.
- Proficiency with personal computers and Microsoft Word, Excel, and Outlook; Access experience is preferred.
Nice to have
- Health insurance or third-party administrator experience.
- Four-year degree in a medical or business field.
- Understanding of medical terminology.
Culture & Benefits
- Fast-paced, deadline-driven, production-focused work environment.
- Collaborative culture with opportunities for process improvement and professional development.
- Health and wellness benefits, 401(k) savings plan, pension plan, and paid time off.
- Paid parental leave, paid holidays, disability insurance, supplemental life insurance, and employee assistance program.
- Tuition reimbursement and additional incentive programs.
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