Claims Analyst

Southwest Service Administrators, Inc.; Phoenix (AZ); On-site; USD 47,000 - 75,000; Full time

Job summary

A leading company in the insurance industry is seeking a Claims Analyst in Phoenix, AZ. The individual will be responsible for analyzing and processing medical claims while ensuring accuracy and quality standards. This role requires a minimum of three years of experience in claims processing, coupled with strong communication skills and attention to detail. Employees benefit from a comprehensive benefits program, including medical, dental, and vision coverage, alongside a generous time-off package.

Benefits

Medical, Dental, Vision

401K Plan with company match up to 5%

Company Paid Long Term Disability & Life Insurance

Exceptional Time Off package

Annual pay increases

Qualifications

• Minimum 3 years experience processing medical claims.
• Extensive knowledge of medical terminology and claim forms.
• Ability to analyze and assess medical documentation.

Responsibilities

• Review, analyze, and process medical and dental claims.
• Maintain complete accuracy and quality in claim processing.
• Work cooperatively with team members and participate in meetings.

Skills

Medical terminology

CPT Codes

ICD 9/10

Attention to details

Strong oral and written communication

Ability to maintain production standards

Education

High School Diploma/GED

Tools

MS Excel

MS Word

Job description

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The Claims Analyst is responsible for reviewing, analyzing and processing medical and/or dental claims. This role is responsible for analyzing claims from first submission and processing them to the final payment while maintaining complete accuracy, production and quality standards.

Responsibilities

Analyzing/Processing

• Gain and maintain the understanding of the plan designs and effectively apply that knowledge.
• Analyze claims as appropriate from first submission to finalizing.
• Maintain complete and accurate processing.
  
  

Teamwork

• Work cooperatively with other team members
• Actively participate in team meetings and training activities.
• Perform additional responsibilities and projects as periodically assigned.
• (Minimum) High School Diploma/GED
• Three (3) years recent experience processing medical claim
  
  

Skills/Abilities

• Ability to maintain production and quality standards.
• Extensive knowledge of medical terminology, CPT Codes, ICD 9/10 and medical claim forms.
• Ability to read, analyze and assess medical documentation and draw valid conclusions.
• Minimum 40 WPM and 3,000 KPH proficiency
• Solid knowledge of MS Excel & MS Word (i.e. pivot tables and lookup functions).
• Professional, client-focused approach to colleagues and assignments.
• Strong oral and written communication skills with exceptional attention to details.
• Ability to seek out experiences that may change perspective or provide an opportunity to learn new things.
• Strong dedication to follow-through on all tasks and assignments.
• Ability to organize, set priorities, work independently and complete multiple projects within established deadlines.
• Ability to sit for long periods of time operating a computer keyboard.
  
  

Employee Benefits Program

COMPANY PROVIDES:

• MEDICAL, DENTAL, VISION
• SHORT-TERM DISABILITY
• Full coverage benefits for a low weekly premium of $5 (Employee Only), $15 (for Child(ren) and $20 per week for full family or Employee/Spouse.
• COMPANY PAID supplemental dental coverage of $1,000 per year for Employee.
• COMPANY PAID LONG TERM Disability & Life/AD&D coverage.
• 401K Plan including company match up to 5%.
• COMPANY PAID additional pension plan entirely funded by the company.
• EXCEPTIONAL TIME OFF package including Paid Personal Leave (PPL) and Vacation with annual BUY BACK options!!!!
• Annual, automatic pay increases.
  
  

Southwest Service Administrators provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, pregnancy, military and veteran status, age, physical and mental disability, genetic characteristics, or any other considerations made unlawful by applicable state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence compensation and training. Southwest Service Administrators expressly prohibits any form of workplace harassment based on race, color, religion, sex, national origin, pregnancy, military and veteran status, age physical and mental disability, or genetic characteristic

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Other

Job function

• Job function

  Finance and Sales

• Industries

  Insurance

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