Claims Analyst I: Fast-Paced, Detail-Driven

Automatic Data Processing, Inc.; Donaldsonville (LA); On-site; USD 45,000 - 60,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Disability insurance

AD&D

Life insurance

401k match

Virtual Visits

Employee Assistance Program

Paid Time Off

Holidays

Job summary

Citizens Inc. is seeking a Claims Analyst I - Domestic to review proofs of loss, determine coverage, and process payments in a timely, accurate manner in Donaldsonville, LA.

You will handle inquiries from beneficiaries and agents, coordinate with providers, and maintain claims data while adhering to HIPAA and internal policies. The role emphasizes analytical decision-making, confidentiality, and teamwork.

Qualifications

• Bachelor’s degree preferred, but insurance experience and strong computer skills are acceptable.
• Courses in business, finance, economics and mathematics are helpful.
• Complete LOMA 1 & 2 (280 & 290) courses, ACS designation, and working toward ALHC.
• ALHC and ALMI certifications are necessary for advancement to a claims manager position.
• Proficiency with Microsoft Office products.
• Strong analytical, organizational and interpersonal skills; excellent written and verbal communication.
• Strong math and/or financial skills.

Responsibilities

• Handle inbound inquiries from beneficiaries and agents, providing excellent service.
• Correspond with agents, policyholders, hospitals, doctors, attorneys, and claimants for information.
• Communicate resolutions via calls or written correspondence.
• Maintain claims information in the claims system and manage follow-ups.
• Develop positive relationships with internal and external stakeholders.
• Review policy contracts to determine coverage and prepare claims for processing.
• Determine base payment by policy limits and decide on course of action.
• Maintain confidentiality of company information.
• Participate in seminars, webinars, and local claims meetings.
• Cross-train on product processing within the claims department.
• Release authority up to specified limits depending on experience.

Skills

Analytical skills

Communication skills

Interpersonal skills

Organizational skills

Mathematical skills

Microsoft Office

Education

Bachelor’s degree preferred

LOMA 1 & 2 (280 & 290)

ACS designation

ALHC certification

ALMI certification

Job description

Citizens Inc. is seeking a Claims Analyst I - Domestic to review proofs of loss, determine coverage, and process payments in a timely, accurate manner in Donaldsonville, LA.

You will handle inquiries from beneficiaries and agents, coordinate with providers, and maintain claims data while adhering to HIPAA and internal policies. The role emphasizes analytical decision-making, confidentiality, and teamwork.