Claims Analyst jobs in United States
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Insight Global · 1 day ago

Claims Analyst

Insight Global is a large managed care organization seeking a Claims Analyst to join their specialized claims adjustment team. The role involves reviewing and analyzing large claim adjustment requests, ensuring accuracy and compliance, and collaborating with business stakeholders to resolve issues.

EmploymentHuman ResourcesRecruitingSales
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H1B Sponsor Likelynote
Hiring Manager
Lani Haas
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Responsibilities

Review and analyze large claim adjustment requests and impact reports
Use SQL/Excel to validate data for accuracy
Run mass claim adjustments in Facets
Partner with business stakeholders to obtain necessary approvals to resolve issues
Provide follow up monitoring and reconciliation after adjustments
Track and manage adjustment inventory to ensure work is completed within SLAs
Identify root cause analysis to improve processes and drive efficiencies

Qualification

FacetsSQLExcelClaims ProcessingRoot Cause AnalysisData ValidationStakeholder Collaboration

Required

End-to-end claims processing expertise (within Facets)
Experience using Excel to pull and validate data
Experience using SQL to pull and validate data
Ability to review and analyze large claim adjustment requests and impact reports
Ability to run mass claim adjustments in Facets
Ability to partner with business stakeholders to obtain necessary approvals to resolve issues
Ability to provide follow up monitoring and reconciliation after adjustments
Ability to track and manage adjustment inventory to ensure work is completed within SLAs
Ability to identify root cause analysis to improve processes and drive efficiencies

Company

Insight Global

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Insight Global provides top talent and staffing solutions that help job seekers find careers in healthcare, finance, IT, and government.

H1B Sponsorship

Insight Global has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (281)
2024 (164)
2023 (75)
2022 (17)
2021 (3)
2020 (2)

Funding

Current Stage
Late Stage
Total Funding
unknown
2010-07-01Acquired

Leadership Team

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Jared Streppa
President Of Company’s Technology Division
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Company data provided by crunchbase