Claims Processing Analyst

Ardem Data Services; United States; Remote; USD 42,000 - 65,000; Full time

Job summary

Ardem Data Services in the United States is seeking a detail-oriented Claims Processing Analyst to manage claim relocation, document handling, adjudication, and weekly claim payment activities. The role requires strong attention to detail, accuracy, documentation skills, and the ability to follow defined SOPs.

1–2 years of experience in Claims Processing and proficiency in MS Excel/Word are expected. Remote work options are available with shifts as per business requirements.

Qualifications

• Graduate in any discipline.
• 1 to 2 years of experience in Claims Processing.
• Good written and verbal communication skills.
• Strong attention to detail and ability to work with documents and data.
• Basic knowledge of MS Excel, MS Word, and email communication.
• Ability to follow SOPs and meet productivity and quality targets.
• Good organizational and time-management skills.
• Willingness to work in shifts as per business requirements.

Responsibilities

• Manage and monitor the Claim Relocation inbox and prioritize urgent requests.
• Verify claim documents, claim history, and required compliance information before relocation.
• Assign ownership and coordinate with the receiving team to ensure smooth claim transfers.
• Update claim status, labels, tracking records, and relocation documentation accurately.
• Execute claim transfers and confirm successful handoff with the receiving team.
• Follow up on relocated claims and resolve issues or *******????? ??? when required.
• Manage Claim folders, ensuring proper filing, completeness, and document hygiene.
• Support weekly claim pay and settlement activities, including reconciliation and approval checks.
• Maintain high accuracy, data integrity, confidentiality, and compliance with company/client guidelines.
• Work closely with SMEs, Supervisors, and other teams to minimize processing errors and unnecessary handoffs.

Skills

Attention to detail

MS Excel

Documentation

Communication skills

SOP adherence

Shift work

Education

Bachelor's degree

Tools

MS Excel

MS Word

Job description

Role Overview

We are looking for a detail-oriented Claims Processing Analyst to manage claim relocation, document handling, adjudication, and weekly claim payment activities. The role requires strong attention to detail, accuracy, documentation skills, and the ability to follow defined SOPs.

Key Responsibilities

• Manage and monitor the Claim Relocation inbox and prioritize requests based on urgency.
• Verify claim documents, claim history, and required compliance information before relocation.
• Assign ownership and coordinate with the receiving team to ensure smooth claim transfers.
• Update claim status, labels, tracking records, and relocation documentation accurately.
• Execute claim transfers and confirm successful handoff with the receiving team.
• Follow up on relocated claims and resolve issues or *******????? ??? when required.
• Manage Claim folders, ensuring proper filing, completeness, and document hygiene.
• Support weekly claim pay and settlement activities, including reconciliation and approval checks.
• Maintain high accuracy, data integrity, confidentiality, and compliance with company/client guidelines.
• Work closely with SMEs, Supervisors, and other teams to minimize processing errors and unnecessary handoffs.

Candidate Requirements

• Graduate in any discipline.
• 1 to 2 years of experience in Claims Processing
• Good written and verbal communication skills.
• Strong attention to detail and ability to work with documents and data.
• Basic knowledge of MS Excel, MS Word, and email communication.
• Ability to follow SOPs and meet productivity and quality targets.
• Good organizational and time-management skills.
• Willingness to work in shifts as per business requirements.

Work From Home Requirements

• Windows laptop/PC only
• Windows 10/11 operating system.
• Minimum Intel Core i5 processor (8th Gen or later)
• Minimum 8 GB RAM; 16 GB preferred
• Minimum 100 Mbps dedicated broadband internet connection
• Reliable power backup through UPS/Inverter is recommended.
• Quiet and suitable workspace for professional communication.
• Candidate must be comfortable working remotely and attending online training/meetings.