Acrisure · 12 hours ago
Senior Claims Analyst
SD Metro Area
Full-time
Onsite
Mid, Senior Level
$33/hr - $35/hr
4+ years expAcrisure is a third-party administrator providing affordable ACA-compliant benefits to employers. They are seeking a Senior Claims Analyst to oversee complex claims adjudication tasks, mentor junior analysts, and enhance departmental efficiency by streamlining workflows and resolving escalated issues.
Financial ServicesInsuranceInsurTech
Responsibilities
Review and process complex or high-priority claims, including escalated or disputed claims
Provide quality assurance and auditing of Claims Analyst I and II work to ensure compliance with turnaround time (TAT), accuracy, and best practices
Serve as department liaison to IT or vendor support on claims system-related issues or enhancements
Lead training sessions and support the professional development of junior analysts
Assist the Claims Manager in updating and maintaining standard operating procedures (SOPs) and training documentation
Analyze claims trends, identify root causes of processing errors, and recommend workflow improvements
Coordinate with internal teams (Eligibility, Client Services, Accounting) to resolve cross-functional issues
Manage specialized tasks such as high-dollar claims review, provider dispute resolution, or out-of-network pricing strategies
Support and generate weekly, monthly, and ad hoc claims reporting
Maintain expert-level knowledge of HealthPac and payer requirements
Perform all duties of a Claims Analyst II when needed
Qualification
Required
High School Diploma or equivalent
Minimum 4 years of experience in medical claims adjudication
Minimum 3 years of HealthPac system use
Demonstrated experience working with Reference Based Pricing (RBP), QPA, and complex claims scenarios
Expert-level proficiency in HealthPac
Strong understanding of medical billing, coding, and adjudication processes
Proven ability to train, guide, and mentor peers
Advanced Excel and reporting skills
Exceptional attention to detail and organizational abilities
Excellent verbal and written communication skills
Ability to handle sensitive information with confidentiality
Strong problem-solving skills and ability to think critically under pressure
Able to work independently while coordinating with multiple departments
Preferred
5+ years of medical claims experience, with increasing levels of responsibility
Previous experience in a lead or trainer role within a claims department
Benefits
Comprehensive medical insurance
Dental insurance
Vision insurance
Life and disability insurance
Fertility benefits
Wellness resources
Paid sick time
Generous paid time off
Holidays
Employee Assistance Program (EAP)
Complimentary Calm app subscription
Immediate vesting in a 401(k) plan
Health Savings Account (HSA) and Flexible Spending Account (FSA) options
Commuter benefits
Employee discount programs
Paid maternity leave
Paid paternity leave (including for adoptive parents)
Legal plan options
Pet insurance coverage
Company
Acrisure
Acrisure offers financial services solutions for insurance, reinsurance, real estate, cyber services, and asset and wealth management.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$11.37BKey Investors
Bain Capital Special SituationsAbu Dhabi Investment AuthorityBDT & MSD Partners
2025-06-06Debt Financing· $550M
2025-05-20Private Equity· $2.1B
2024-06-05Debt Financing· $1.6B
Leadership Team
Greg Williams
Co-Founder, Chairman & CEO
Mark Wassersug
Chief Technology Officer
Recent News
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