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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