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.
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
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
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 StageTotal Funding
unknown2010-07-01Acquired
Recent News
Maryland Daily Record
2025-09-26
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