Sr Claims Analyst - LHB

Location: Work from home (HB)

Compensation: $18.07–$33.92 per hour, with eligibility for an annual incentive bonus.

Company

hirify.global operates a purpose-driven healthcare organization focused on making healthcare simpler, better, and more affordable.

What you will do

• Accurately adjudicate and process medical, dental, vision, life, and disability claims.
• Investigate claim information and make life and disability benefit determinations according to policy provisions and applicable state and federal laws.
• Calculate benefit payments and communicate decisions for new and continuing claims.
• Handle related correspondence, electronic inquiries, and complex customer situations through resolution.
• Support claim units, vendor staff, internal departments, employees, members, providers, and clients.
• Advise team members on claim processing procedures and established turnaround requirements.

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 investigation, analytical, mathematical, decision-making, organizational, and critical-thinking skills.
• Excellent verbal and written communication skills with the ability to work with employees, members, providers, clients, and colleagues at different organizational levels.
• Ability to work independently with minimal supervision in a fast-paced, deadline-driven, customer-focused environment.
• 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

• Work-from-home arrangement.
• Collaborative environment focused on continuous improvement and process 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 an employee assistance program.
• Tuition reimbursement and additional incentives.