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Are you detail-oriented, customer-focused, and ready to make an immediate impact? This temporary Claims Analyst opportunity is a great fit for someone who enjoys problem-solving, working with documents, and supporting members through accurate claim processing. You will collaborate with their team to ensure claims are handled correctly, timely, and with care.
Key Responsibilities / What You’ll Do
- Review, analyze, and interpret claim forms and related documents
- Determine benefit coverage using plan documents, clinical edits, claim manuals, and related references
- Investigate, pend, and route claims based on established procedures and guidelines
- Manage claims, correspondence, and referrals within required timeframes and performance expectations
- Support the reinsurance team with claim research and resolution as assigned
- Partner with internal departments to research and resolve claim questions
- Communicate with members, providers, clients, and other carriers via phone, email, messaging, fax, or written correspondence
Qualifications / What We’re Looking For
- High School diploma or GED
- Strong written and verbal communication skills
- Ability to thrive in a fast-paced, production-driven, customer-centric environment
- Sound judgment and ability to follow written and verbal instructions
- Comfort learning proprietary systems and using MS Excel and Word
- Flexible and open to ongoing process improvement
- Preferred: 1+ year health insurance claims experience, self-funded/TPA exposure, knowledge of medical coding/terminology, familiarity with SPDs/benefit booklets
Why Join the Team?
- Remote opportunity with structured training and clear expectations
- Build valuable health insurance claims experience while supporting quality outcomes
- If you are dependable, organized, and motivated, we encourage you to apply
Job Details
- Job Type: Temporary
- Pay / Salary: $18/hour
- Hours / Schedule: Full-time, 37.5 hours/week (Monday through Friday). Training is 9:00 AM to 5:00 PM EST. After training, you will work 7.5-hour shifts scheduled between 7:00 AM and 9:00 PM.
- Start Date: December 7, 2026
- Location: Lancaster, PA