Project Management –Supervises work product of junior Analysts and is accountable for a full case load of matters they are responsible for administering. The Senior Analyst is required to proactively spot issues and confer with leadership to develop a plan for mitigation.
Project Execution – Proactively managing cases to meet and exceed project requirements and deadlines, within budget and at the highest quality standards. Effectively collaborates across the business to ensure timely execution and case management.
Research & Communication – Handle escalated claim inquiries and appropriately communicate findings with clients, claimants, managers and/or Senior Managers as needed. Identify and seeks to address process challenges and effectively communicates with project teams and vendors as necessary.
Reporting & Documentation - Review project reporting and summaries for accuracy and completeness to identify case-related issues to be addressed. Assist in development of business rules for claims processing and payments and ensuring related documentation accurately reflects requirements outlined in the applicable service agreement.
College degree or comparable work experience required. A minimum of 2 years’ experience working in claims administration, or a closely related field required. Demonstrated experience working effectively in a team-based fast-paced environment. Excellent verbal and written communication skills with a professional, calm demeanor. Demonstrated ability to effectively communicate with professional clients. Critical thinking and analytical skills. Demonstrated ability to effectively adhere to a budget and identify opportunities to enhance the client experience. Demonstrated high proficiency in in MS Office Suite, particularly in Excel. Understanding of data sets and data management concepts required.
Healthcare Coverage: Comprehensive medical, dental, and vision plans. Time Off and Leave Policies: Generous paid time off (PTO), paid company holidays, generous parental and family leave. Protective Insurances: Life insurance, short- and long-term disability coverage, and accident protection. Compensation and Rewards: Competitive salary structures, performance-based incentives, and merit-based compensation reviews. Retirement Plans: 401(k) plans with company matching.
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