Claims Analyst II

Pyramid Consulting, Inc; United States; Remote; Full time

Job summary

A leading company in the Healthcare Industry is seeking a Claims Analyst II for a 6+ month contract. This remote position requires strong analytical skills and involves processing claims and regulatory compliance. Ideal candidates will have a Bachelor's degree and relevant experience. Join a high-impact team focused on continuous improvement and regulatory operations.

Benefits

Health insurance (medical, dental, vision)

401(k) plan

Paid sick leave

Qualifications

• 2-4 years’ experience required.
• Claims Processing experience needed.

Responsibilities

• Clean up backlog related to processed claims.
• Daily interaction with supervisor/team members.
• Contribute to regulatory compliance under the No Surprises Act.

Skills

Analytical

Investigative

Data Analytics

Education

Bachelor’s degree in Business

Tools

Excel

Amisys Claims

Job description

Pyramid Consulting, Inc provided pay range

This range is provided by Pyramid Consulting, Inc. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$22.50/hr - $23.00/hr

Immediate need for a talented Claims Analyst II. This is a 06+ months contract opportunity with long-term potential and is located in US (Remote {CST}). Please review the job description below and contact me ASAP if you are interested.

Job ID: 25-70983

Pay Range: $22.50 - $23/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

• Shift: Start: 8:00am - End: 5:00pm CST (Lunch is 1 Hour) OT as needed (not mandatory)
• Resource needs to clean up backlog related to previously processed claims.
• Process intake backlog for Federal Independent Dispute Request (IDR) process. Data entering submissions into tracking log. NSA claims special projects.
• Daily interaction with supervisor/team members.
• Remote; utilize Microsoft Teams to communicate.
• Weekly meetings.
• The IDR dispute process is federally regulated.
• Opportunity to contribute to a high-impact team that supports federal compliance under the No Surprises Act (NSA).
• Every case is different, and analysts work through real-time challenges involving regulatory timelines & arbitration outcomes.
• The role offers exposure to regulatory operations and claim adjustments (this temp will not be processing claims).
• The team values open communication and teamwork.
• Continuous improvement is part of the culture – process enhancements, learning new systems, cross-training, etc.
• The team remains resolution-focused.
• Competitive market comparison
• Direct involvement in regulatory operations and exposure to complex Independent Dispute Resolution (IDR) workflows under the No Surprises Act.
• Deeper level of analytical and compliance-focused work that builds valuable experience.
• Fast-paced, high-visibility environment that collaborates closely with legal, compliance, and finance partners.
• Cross-functional collaboration.
• Opportunity to make an immediate impact.
• Exposure to Regulatory & Compliance related work.

Key Requirements and Technology Experience:

• Analytical & Investigative skills.
• Gaining regulatory knowledge.
• Workflow & System Efficiency.
• Bachelor’s degree in Business or related field preferred; 2-4 years’ experience required.
• Claims Processing.
• Excel experience (1-2 years).
• Data Analytic skills.
• Amisys Claims experience (2-5 years).
• Data Analytics.

Our client is a leading Healthcare Industry and we are currently interviewing to fill this and other similar contract positions. If interested, please apply online for immediate consideration.

Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants, prohibiting discrimination and harassment of any kind regardless of race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by law.

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