Claims Analyst

🔥 5 minutes ago

🏄 California – Remote

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💵 $25 - $32 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

📋 Claims Specialist

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

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Logo of Acrisure

Acrisure

10,000+ employees

Founded 2013

💸 Finance

Finance • Insurance

Acrisure is a company that provides a wide range of insurance, risk management, and financial services solutions. They offer personal insurance, mortgages, business insurance, and employee benefit services, as well as cybersecurity and managed IT resources. Acrisure is known for expanding their reinsurance capabilities internationally and has garnered recognition such as the 'Broker of the Year' award. The company is also involved in community outreach and partnerships, such as with the Pittsburgh Steelers. Acrisure is committed to delivering innovative solutions and maintaining strong industry leadership.

📋 Description

• Process claims in designated workflow queues • Knowledge of repricing claims with Reference Based Pricing (RBP) and Qualifying Payment Amount (QPA) • Review of processed claims and reprocessing when necessary • Claims reporting – daily and weekly reporting • Stop pay, void and reissue of payments • Back-up group claims report requests • Axos claims check maintenance • Electronic provider payment reconciliation • Other responsibilities as needed

🎯 Requirements

• Excellent verbal and written communication skills • Proficient in HealthPac software • Excellent interpersonal and customer service skills • Proficient in Microsoft Office Suite or related software • Excellent organizational skills and attention to detail • Basic understanding of clerical procedures and systems such as record-keeping and filing • Ability to work independently • High School diploma; Bachelor's degree preferred • 2+ years of HealthPac experience • 2+ years of medical claims adjudication experience

🏖️ Benefits

• Comprehensive medical insurance, dental insurance, and vision insurance • Life and disability insurance • Fertility benefits • Wellness resources • Paid sick time • Generous paid time off and holidays • Employee Assistance Program (EAP) • Complimentary Calm app subscription • Immediate vesting in a 401(k) plan • Health Savings Account (HSA) and Flexible Spending Account (FSA) options • Commuter benefits • Employee discount programs • Paid maternity leave and paid paternity leave (including for adoptive parents) • Legal plan options • Pet insurance coverage

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