MetroPlusHealth · 9 hours ago
Claims Administrative Analyst
MetroPlusHealth is seeking a Claims Administrative Analyst to provide analysis and administrative support for the Claims Department using Salesforce. The role involves triaging new cases, monitoring and analyzing Salesforce cases, and assisting with administrative functions to improve efficiency and quality in the department.
Financial ServicesHealth CareHealth InsuranceInsuranceLife Insurance
Responsibilities
Under direction from manager, coordinates the administration aspects of the Salesforce tool and inventory management of cases
Under direction from manager, manually assigns cases to staff and/or routes to queues
Triages new cases, tracking and trending and routing appropriately
Assists with monitoring of case age and routing
Performs administration case updates in salesforce application as appropriate
Supports preparation of case activity and production reports
Works with Salesforce IT team to develop reports
Assists with any Salesforce training needs
Performs other duties, as assigned by management
Qualification
Required
Bachelor's degree required
Minimum 3 years' health plan experience with a CRM tool; Salesforce a plus
Proficient in MS Office applications
Integrity and Trust
Customer Focus
Functional/Technical skills
Excellent verbal and written communication skills, with the ability to effectively communicate
Strong organizational and analytical skills
Ability to solve practical problems and recommend solutions
Ability to plan work, work with staff, at all levels of the organization
Show initiative and flexibility
Ability to manage time and make decisions within the scope of assigned authority
Ability to multi-task
Must be able to work in a fast-paced environment
Company
MetroPlusHealth
MetroPlusHealth provides health insurance to individuals, families, and small businesses.
Funding
Current Stage
Late StageLeadership Team
Recent News
2025-07-17
Company data provided by crunchbase