Claims Operations Analyst II: Process Improvement

Jobtailor; Richfield Township (OH); On-site; USD 42,000 - 54,000; Full time

Job summary

Jobtailor in Ohio seeks a claims processor to process and organize claim file information for basic claims across lines, and to handle moderately complex claims with coverage questions. You will contribute to streamlining procedures and reducing costs while maintaining accuracy and compliance.

Join our team to apply analytical and communication strengths in a collaborative environment, emphasizing prioritization and adherence to local, state, and federal insurance policies.

Qualifications

• High School Diploma (Associate degree preferred).
• Generally, a minimum of 3 years of experience in claim operations or customer service.
• Develops knowledge of local, state, and federal insurance-related policies.
• Effective analytical and organizational abilities with a focus on prioritization.
• Working knowledge of claim data processing systems.
• Excellent interpersonal and communication skills.

Responsibilities

• Process and organize claim file information for basic claims for one or more lines.
• Handle moderately complex claims including claims with coverage questions or recovery potential.
• Assist in identifying opportunities to streamline claims procedures, enhance efficiency, and reduce costs.
• Performs other duties as assigned.

Skills

Claims processing

Data processing

Interpersonal skills

Effective communication

Prioritization

Education

High School Diploma

Associate Degree Preferred

Tools

Claim data processing systems

Job description

Jobtailor in Ohio seeks a claims processor to process and organize claim file information for basic claims across lines, and to handle moderately complex claims with coverage questions. You will contribute to streamlining procedures and reducing costs while maintaining accuracy and compliance.

Join our team to apply analytical and communication strengths in a collaborative environment, emphasizing prioritization and adherence to local, state, and federal insurance policies.