Claims Analyst analyzes and reviews insurance claims for accuracy, completeness, and eligibility. Reviews claims for eligibility to be reimbursed. Being a Claims Analyst maintains updated records and prepares required documentation. Assists in controlling the cost of processing claims. Additionally, Claims Analyst contacts policyholders about claims and may provide information regarding the amount of benefits. May require a bachelor's degree or its equivalent. Typically reports to a supervisor or manager. The Claims Analyst gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Claims Analyst typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
Job Title: Claims Analyst
Position Type: Full-Time, Remote
Location: Nashville, TN
Department: Lucent Tennessee Claims
Reports To: Supervisor – Claims
SUMMARY
The purpose of the Claims Analyst is to provide exceptional claim processing. Claims Analysts process medical,
dental, disability, pharmacy, and flexible spending claims in a timely and accurate manner.
ESSENTIAL DUTIES AND RESPONSIBILITIES
EXPERIENCE
Thorough understanding of Self Funding and Third Party Administrating concepts. Demonstrated written and
oral communication skills required. Ability to navigate through and utilize various PC applications efficiently.
Strong organizational skills, problem solving and decision making skills required. Ability Self direction and self
starter skills required. Strong understanding of claims analyst process and procedures skills. Must have coding
and medical terminology training.
Must be able to work core business hours of 8:00 -5:00.
1-2 years previous experience strongly desired.
Equal Employment Opportunity Policy Statement
Lucent Health Solutions, Inc. is an Equal Opportunity Employer