Claims Analyst

Reference Number: SROHCA20

Claims Analyst

Not Disclosed

Mason, OH

6.0 Months

Not Disclosed

Not Disclosed

Services

Job Description

HYBRID - 2-3x in Mason Office. Must have adequate WFH space and follow all client remote protocol.

Description:

GENERAL FUNCTION

Prepayment validation of designated claims to ensure appropriate forms and additional documents have been submitted. The analyst will be responsible for monitoring of outgoing letters, requesting additional information when necessary, gathering data to analyze trends with an emphasis on improving processing.

MAJOR DUTIES AND RESPONSIBILITIES

Validate the completeness of designated claims, including forms and additional necessary documentation
Track claims that require additional information to ensure they are submitted to vendor for letter generation
Analyze trends and report directly to Claims Manager
Maintain effective, on-going communication within Claims Team and Manager

BASIC QUALIFICATIONS

Experience in Claims processing
Experience in Microsoft Office
Intermediate Level knowledge of PCs and spreadsheet applications.
Strong communication, problem solving, teamwork and organization skills.
Strong analytical skills and critical thinking.
Ability to work cross functionally.

PREFERRED QUALIFICATIONS

Analysis experience.
Knowledge of Business Objects
Knowledge of Facets
Highly motivated self-starter.

Notes:

Hours: M-F/Full-Time; 8-4:30 (30-Minute lunch)

Hybrid 2x - 3x in office a week.. Must have adequate WFH space and follow all client remote protocol.

VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status