Claims Analyst

Jobtailor; Town of Springfield (WI); On-site; USD 36,000 - 52,000; Full time

Job summary

Jobtailor is seeking a detail-oriented claims adjudication assistant in Wisconsin to review and adjudicate member and provider submissions and accurately enter data from paper forms. You will help ensure precise processing of medical claims while maintaining high data integrity.

Your role includes validating scanned data, documenting member inquiries, and collaborating with teams to support timely, accurate processing of claims.

Qualifications

• High School Diploma or Equivalent
• Proficient in using computers and computer systems
• Excellent verbal and written communication skills
• Able to work independently and collaboratively in teams
• Self starter

Responsibilities

• Review and adjudicate all member and provider submitted medical claims.
• Perform accurate data entry of paper claim forms.
• Validate scanned data recognized by scanning software.
• Document member's response to inquiry letters.

Skills

Medical Claims Adjudication

Data Entry

Verbal Communication

Written Communication

Team Collaboration

Self-Starter

Independent Work

Education

High School Diploma or Equivalent

Tools

Computer Systems

Scanning Software Validation

Job description

• Review and accurately adjudicate all member and provider submitted medical claims


• Perform accurate data entry of paper claim forms


• Validate scanned data recognized by scanning software


• Document member's response to inquiry letters

Requirements

• High School Diploma or Equivalent


• Proficient in using computers and computer systems


• Excellent verbal and written communication skills


• Able to work independently and collaboratively in teams


• Self starter

Core Competencies

Demonstrates proficiency in medical claims adjudication and data entry, ensuring accuracy in processing member and provider claims. Strong communication skills facilitate effective documentation and collaboration within teams.

Highest-signal resume keywords

• Medical Claims Adjudication


• Data Entry


• Verbal Communication


• Written Communication


• Team Collaboration

Hard Skills

• Data Entry


• Medical Claims Adjudication


• Scanning Software Validation

Soft Skills

• Excellent Verbal Communication


• Excellent Written Communication


• Self-Starter


• Independent Work


• Team Collaboration

Certifications & Qualifications

• High School Diploma or Equivalent

Tools & Technologies

• Computer Systems