Claims Analyst jobs in United States
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Allied Benefit Systems · 23 hours ago

Claims Analyst

Allied Benefit Systems is a company that specializes in healthcare solutions, and they are seeking a Claims Analyst to manage communications and adjustments related to claims. The role involves processing claims, assisting internal departments, and ensuring timely closure of claims with external vendors.

Health CareInsuranceWellness

Responsibilities

Review daily production reports and adjustment reports from Anthem to ensure claims and adjustments are closed within the designated turnaround time
Process all adjustment claims for Anthem and Blue Cross Blue Shield
Send adjustment requests to Anthem and Blue Cross Blue Shield
Assist with questions from other internal departments for both Anthem and Blue Cross Blue Shield
Review exception reports sent by Anthem
Close out any claims in the various Blue Cross Blue Shield applications
Work incentive reports monthly to ensure claims are closed
Review outbound reports daily for Blue Cross Blue Shield
Performs other related duties as assigned

Qualification

Medical claims processingAdjustment experienceQicLink systemMicrosoft ExcelMicrosoft WordMicrosoft AccessAccountabilityCommunicationTime ManagementInitiativeCustomer Focus

Required

High School diploma or equivalent required
Minimum of 3 years medical claims processing experience required
Adjustment experience is required
Applicant should be proficient in using the Excel and Word programs
Experience with or ability to learn Microsoft Access
Communicate effectively both orally and by email

Preferred

Experience with the QicLink claims processing system preferred
Jointly Administered Arrangements (JAA) experience is preferred; however, it is not required

Benefits

Medical
Dental
Vision
Life & Disability Insurance
Generous Paid Time Off
Tuition Reimbursement
EAP
Technology Stipend

Company

Allied Benefit Systems

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Allied offers insurance products, self-insurance solutions, custom insurance and healthcare solutions to the individuals and organizations.

Funding

Current Stage
Late Stage
Total Funding
unknown
Key Investors
Stone Point Capital
2021-02-18Private Equity

Leadership Team

D
Dina H. Tank
Senior Vice President of Sales, Western Region
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Company data provided by crunchbase