Claims Compliance Analyst

This fully remote position is for a Claims Compliance Analyst, responsible for maintaining deep knowledge of the claims process, processing claims, and ensuring compliance with internal policies and regulations. The role involves risk assessment, testing, monitoring, and developing compliance items. Collaboration with other departments is essential to navigate complex claims processes and ensure accurate claims adjudication.

Requirements

• A minimum of 5 years of experience in health insurance claim processing
• Ability to plan, carry out, and document compliance self-monitoring initiatives
• Ability to comprehend complex laws/regulations
• Ability to assess, prioritize, and communicate claims risk
• Strong analytical skills
• Strong written/verbal communication skills
• Ability to work in a fast-paced environment

Benefits

• Great company
• Fantastic benefits