Claims Analyst jobs in Washington
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)
Recently Added Claims Analyst jobs
CLAIMS OPERATIONS ANALYST
- University of Washington (UW) Medicine
-
Seattle, WA
OTHER
-
Req #:
221266
Department:
COMPLIANCE & RISK SERVICES
Job Location:
Remote/Hybrid, Seattle - Other, Seattle Campus
Job Location Detail:
Roosevelt Commons West; 4300 Roosevelt Way NE, 2nd floor; open to hybrid work schedule (combination in-office remote)
Posting Date:
04/19/2023
Closing Info:
Open Until Filled
Salary:
$5,500 $6,667 per month
Other Compensation:
Shift:
First Shift
Benefits:
As a UW employee, you will enjoy generous benefits and work/life programs. For a complete description of our benefits for this position, please visit our website, click here.
As a UW employee, you have a unique opportunity to change lives on our campuses, in our state and around the world. UW employees offer their boundless energy, creative problem-solving skills and dedication to build stronger minds and a healthier world.
UW faculty and staff also enjoy outstanding benefits, professional growth opportunities and unique resources in an environment noted for diversity, intellectual excitement, artistic pursuits and natural beauty.
We have an outstanding opportunity for aClaims Operations Analyst.
Under the general direction of the Director, Claim Services (and with dotted-line direction by the Manager, Risk Financing and Consulting), the Claims Operations Analyst will independently support the Claim Services and Risk Financing Programs in the management of claims and lawsuits managed by the Office by gathering, managing, summarizing and reporting of data and records needed, predominantly but not exclusively in the healthcare and liability claims/litigation process. The position also will independently navigate various legal, regulatory, and policy requirements of healthcare and other complex claims as required by internal policies and external regulatory environment. This position is a critical part of the risk management function at the University and its Medical Centers.
This position requires ability to regularly and independently perform data analyses of a non-routine nature and to make data-based recommendations and decisions. This position is additionally responsible for gathering and validating information from multiple data sources, including the querying of various databases containing claims and financial and claims data, and effectively communicating to leadership with requests for information. The position also requires capacity to understand and incorporate applicable policies, law, and regulations into responsible work streams as well as the savvy ability to communicate as a productive partner. Maintenance of accurate documentation and data integrity, research, analysis, and subjective judgement is required to assist the Office with the management and ultimate resolution of claims.
This position is responsible for documenting and organizing of Claims and Risk Financing guidelines and processes as well as maintaining regulatory compliance and reporting functions.
The Claims Operations Analyst is responsible for claims reporting, data maintenance, and financial dimensions Claims Services and Risk Financing & Consulting units of Compliance and Risk Services.
Risk Financing & Consulting protects the University from the impact of unintentional loss. It provides services to all University schools, colleges, and administrative units in the areas of risk financing, risk consulting, and claim management and reporting. The University uses all types of risk transfer mechanisms. Losses occur most frequently in the areas of workers' compensation, automobile, general, employment practices and professional liability, with lower frequency in marine protection and indemnity and first-party property claims.
Claim Services is a part of the Universitys Compliance and Risk Services (CRS) unit. Claim Services works on behalf of the University to protect against financial impacts of accidental loss. Claims Services, as part of Compliance and Risk Services, provides support to all University schools, colleges, and administrative units in the areas of claims management including but not limited to expenses and recoveries associated with claims and strategic loss control. As such it plays a critical role in supporting the University mission for teaching, research, and public service.
Duties/Responsibilities
In an independent manner, Support Risk Financing and Consulting and Claims Services Programs with creating, archiving, gathering, summarizing, analyzing, distributing, and general management of various records that directly support the management and ultimate resolution of University claims. Includes, but is not limited to:
Creation and maintenance of financial and other records associated with claims and defense of claims, which includes creating, analyzing and limited distribution of records, data, data analyses, and reports. Work products entail deliverables of both routine and non-routine manner.
Independently support the financial processes related to claims, PBI and UW budgets including creation and maintenance of financial records and data reports.
Application of litigation hold notices and releases, tracking records, and other record management procedures as legally required.
Applying independent judgement and analysis, perform initial case intake and set-up, including direct communication and introductions with involved parties and outside counsel and document initial case set-up in Claims Services database.
Respond to defense counsel requests for medical records, billing records, policies & procedures, and other documents in response to claim investigation and legal discovery
Perform accurate documentation of work completed in the Claims Services database
Provide additional administrative coordination support at the direction of the Director and/or Claims Manager
Perform general document organization and analysis as needed at the direction of the Director and/or Claims Manager
Management of Public Records Requests:
Serve as liaison for Compliance and Risk Services to the Public Records Office
Coordinate, track, and document responses
Elevate issues to Compliance and Risk Services leaders as needed
Information/Data Management: Provide information, data analyses and recommendations to the Director of Claims Services and Manager of Risk Financing and others upon request related to claims and litigation trends and lessons learned.
Communication Management for Claims/Lawsuits: Independent coordination of Claim Review Committee Process by communicating with stakeholders and scheduling meetings as appropriate.
Regulatory Compliance Support: Ensuring compliance with various reporting agencies (CMS, OIC, DOH, NPDB, and others) by completing reports and/or ensuring reports are completed.
Malpractice Claim Histories and Credentialing Inquiries: Completing and independently evaluating claims histories; fielding questions from providers; developing and maintaining efficient process for same.
Ownership of critical elements of indemnification and defense cost disbursement process for University employees, students, and agents, by managing required correspondence.
Other claims/litigation support and special projects as assigned by the Manager of Risk Financing and Consulting.
Requirements include:
Bachelor's degree
Four years' accumulated professional experience
Excellent written and oral communication skills with ability to communicate effectively with diverse audiences
Ability to analyze, interpret, and apply complex rules and regulations toward effective problem solving
Ability to use computer systems and databases effectively and efficiently
Demonstrated customer service skills
Strong planning and organization skillsEquivalent education/experience will substitute for all minimum qualifications except when there are legal requirements, such as a license/certification/registration.
Desired:
Legal experience or background
Insurance Claims Experience
Experience working in public university or agency
Application Process:
The application process for UW positions may include completion of a variety of online assessments to obtain additional information that will be used in the evaluation process. These may include Work Authorization,Cover Letterand/or others. Any assessments that you need to complete will appear on your screen as soon as you select Apply to this position. Once you begin an assessment, it must be completed at that time; if you do not complete the assessment, you will be prompted to do so the next time you access your My Jobs page. If you select to take it later, it will appear on your "My Jobs" page to take when you are ready.Please note that your application will not be reviewed, and you will not be considered for this position until all required assessments have been completed. - 1 Month Ago
Senior Workers Compensation Claims Adjuster
- TheBest Claims Solutions
-
Seattle, WA
TEMPORARY
- Senior Workers Compensation Claims Adjuster SEATTLE, WA 98039 | TEMPORARY $35.00 TO $40.00 PER HOUR, DEPENDING ON EXPERIENCE Job Description Our client, a national insurance company, is looking to add...
- 7 Days Ago
Epic Applications Analyst - AP Claims
- Providence Health
-
Washington, WA
FULL_TIME
- Description *We are currently offering remote work from one of our footprint states which are inclusive of WA, OR, MT, CA, AK and or TX* Providence is seeking an Epic Applications Analyst – AP Claims,...
- 26 Days Ago
Epic Applications Analyst - AP Claims
- Providence Health
-
Renton, WA
FULL_TIME
- Description *We are currently offering remote work from one of our footprint states which are inclusive of WA, OR, MT, CA, AK and or TX* Providence is seeking an Epic Applications Analyst – AP Claims,...
- 26 Days Ago
Sr. Risk Analyst, Global Risk Management and Claims
- Amazon
-
WA, WA
FULL_TIME
- DESCRIPTIONAmazon’s Global Risk Management and Claims team is seeking a Sr. Risk Analyst to assist with the development and management of Amazon’s global insurance programs, including supporting globa...
- 6 Days Ago
CA - Field Representative
- Hancock Claims Consultants
-
Kent, WA
FULL_TIME
- With a 20-year history supporting property insurers, Hancock Claims Consultants provides a nationwide network of inspectors, contractors, and engineers who help adjusters quickly process claims. All 5...
- 10 Days Ago
Claims Analyst jobs at Popular Companies
Scheduler/Claims Analyst
- Ghirardelli Associates
-
Oakland, CA
- At Ghirardelli Associates we take pride in the accomplishments of our Associates and the environment that we foster. As ...
- 4/19/2024 12:00:00 AM
Claims Analyst
- ERISA Recovery
-
Dallas, TX
- Job Description: Are you a high-performing collections analyst and underpaid? Join a team where compensation and opportu...
- 4/18/2024 12:00:00 AM
Claims Analyst
- Bernard Nickels & Associates
-
Mason, OH
- Type: Contract Start Date: ASAP End Date: 6/30/2024 (w/ potential for extension) Location: Mason, OH (HYBRID position; i...
- 4/18/2024 12:00:00 AM
Claims Analyst - Remote
- First American Financial Corporation
-
West Hills, CA
- Who We Are Join a team that puts its People First! As a member of First American's family of companies, First American H...
- 4/18/2024 12:00:00 AM
Claims Analyst
- Fresno PACE by Innovative Integrated Health
-
Fresno, CA
- Who We Are Are you interested in working for an organization whose mission it is to enable frail, underserved, and multi...
- 4/17/2024 12:00:00 AM
Claims Analyst
- Fresno Pace By Innovative Integrated Health
-
Fresno, CA
- Who We Are Are you interested in working for an organization whose mission it is to enable frail, underserved, and multi...
- 4/17/2024 12:00:00 AM
Medial Claims Analyst
- PrideStaff
-
Mesa, AZ
- We are currently looking for a Medical Claims and Correspondence Processing Agent to join our team! MUST HAVE RELIABLE T...
- 4/17/2024 12:00:00 AM
Reinsurance Claims Analyst
- C. Winchell Agency, Inc.
-
New York, NY
- Reinsurance Claims Analyst New York City - Remote Opportunity Property and Casualty Insurance Industry Come join the glo...
- 4/15/2024 12:00:00 AM
About Washington
Washington (/ˈwɒʃɪŋtən/), officially the State of Washington, is a state in the Pacific Northwest region of the United States. Washington is the northwestern-most state of the contiguous United States. It borders Idaho to the east, bounded mostly by the meridian running north from the confluence of the Snake River and Clearwater River (about 116°57' west), except for the southernmost section where the border follows the Snake River. Oregon is to the south, with the Columbia River forming the western part and the 46th parallel forming the eastern part of the Oregon-Washington border. To the wes...
Source: Wikipedia (as of 04/17/2019). Read more from Wikipedia
Income Estimation for Claims Analyst jobs
$41,484 to $53,198
Most Popular Cities in Washington for Claims Analyst Jobs
What does a Claims Analyst do?
Claims Analyst in Wichita Falls, TX
Gavin Pannu, MSTA, Market Analyst and Trading Mentor at London Academy of Trading (LAT), agrees that regulation is ultimately the key to sparking another bull run in the broader cryptocurrency market.
February 06, 2020
Claims Analyst in Santa Cruz, CA
Apart from more storage, analysts don't expect the iPhone 7 to differ all that much from the iPhone 6s.
February 23, 2020
Claims Analyst in Provo, UT
The KGI Securities analyst however feels that Apple may not be ready with updated iMac models and it may not star in Thursday event.
December 10, 2019