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Verida, Inc. · 5 hours ago

Claims Analyst

Villa Rica, GA, US

Full-time

Onsite

Entry Level

2+ years exp

Verida, Inc. is seeking a Claims Analyst responsible for analyzing processed claims for accuracy according to provider contracts and company policies. The role involves conducting audits, analyzing claim trends, and contributing to claims analysis reports.

Government Administration

Responsibilities

Conduct audits and reviews of claims. Document the findings and recommendations

Request all information from internal or outside sources to ascertain completeness and validity of claims

Analyze claim trends to determine any necessary refinement of business rules and workflows in order to improve the overall claims process

Contribute to the development of claims analysis reports

Research claims as needed

Qualification

Claims processingExcelMicrosoft OfficeEthical principlesWritten communicationVerbal communicationOrganizational skillsProblem solvingCollaboration

Required

High School Graduate or equivalent

Minimum 2 years of relevant claims processing experience, preferably in a health care environment or a minimum of six months of internal claims processing experience

Strong written and verbal communication skills

Basic working knowledge of excel and Microsoft office

Displays written and verbal communication skills with administration and external parties

Able to work collaboratively, diplomatically, maintain confidentiality, and with integrity in problem identification and problem solving activities

Displays knowledge of ethical principles and compliance issues in an accounting setting

Knowledge of claims processing

Possesses good organizational skill, ability to focus on assigned tasks