Insurance Claims Analyst

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Insurance Claims Analyst 

We’re looking for a Claims Analyst to support timely, accurate processing of medical-related claims. If you enjoy detail-oriented work, helping members and providers get clear answers, and working in a fast-paced team environment, this opportunity could be a great fit.

Key Responsibilities / What You’ll Do

• Review and analyze claim forms and related documentation
• Determine benefit coverage using clinical edits, plan documents, and claim guidelines
• Investigate, pend, and refer claims while following established procedures
• Handle correspondence, claims, and referrals within required turnaround times
• Support the Claims Reinsurance team with assigned research and resolution tasks
• Communicate with employees/members, providers, clients, and other carriers as needed

Qualifications / What We’re Looking For

• 1+ year of Health Insurance claims experience
• Self-funded insurance/benefits and/or TPA experience preferred
• Knowledge of medical terminology and medical procedure/diagnosis coding
• Familiarity with Summary Plan Documents (SPDs) and/or insurance booklets preferred
• Strong verbal and written communication, discretion, and ability to adapt
• Comfortable learning new systems and using MS Excel/Word

Why Join the Team? Join a production-focused group where accuracy matters, collaboration is valued, and the right hire has a strong likelihood of becoming permanent.

Job Details

• Job Type: Temp (Long-term with likelihood of hire)
• Pay / Salary: $22–$23/hr
• Hours / Schedule: Monday through Friday 8:30am–5pm EST; 9am–5:30pm EST; or 9:30am–6pm EST
• Location: Remote but most be within 1 hour of Lancaster, PA

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