Claims Review Analyst

Unified Group Services; Anderson (IN); On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

Health insurance

401(k) with company match

Education assistance

Employee assistance program

PTO

Growth opportunities

HSA/FSA

Life insurance

Short- and long-term disability

Wellness programs

Sponsored health clinic

Company parties

Job summary

Unified Group Services is seeking a full-time Claims Review Analyst to join our team in Anderson, IN. This role is ideal for professionals who enjoy analytical work and thrive in a collaborative setting.

Candidates should have a high school diploma, proficiency in Microsoft Office, and strong analytical skills. We offer competitive wages and a comprehensive benefits package, including health insurance, 401(k) with company match, and growth opportunities.

Qualifications

• Proficiency in Microsoft Word, Excel, and Outlook.
• Strong mathematical and analytical skills.
• Exceptional attention to detail required.

Responsibilities

• Investigate and evaluate internal and external appeals.
• Collaborate with internal review vendors and IROs.
• Prepare professional correspondence for various stakeholders.

Skills

Analytical skills

Attention to detail

Writing skills

Problem-solving

Microsoft Word

Microsoft Excel

Microsoft Outlook

Education

High school diploma or equivalent

Job description

Do you have a talent for uncovering details, resolving complex issues, and turning research into meaningful solutions? Unified Group Services is seeking a full-time Claims Review Analyst to join our team in Anderson, IN. This is an excellent opportunity for a driven professional who enjoys analytical work, thrives in a collaborative environment, and takes pride in delivering accurate, well-supported claim decisions. If you're ready to bring your expertise to a company that values precision, teamwork, and professional growth.

As our Claims Review Analyst, you'll earn a competitive wage, based on experience. We also offer a comprehensive benefits package, including:

• Health, dental, and vision insurance
• 401(k) with company match
• Education assistance
• Employee assistance program
• PTO
• Growth opportunities
• HSA/FSA
• Life insurance
• Short- and long-term disability coverage
• Wellness programs
• Sponsored health clinic
• Company parties

ABOUT THIS ROLE

As our full-time Claims Review Analyst, you'll investigate and evaluate internal and external appeals involving benefit determinations, Usual & Customary reductions, discount disputes, and eligibility matters. You'll collaborate with internal review vendors and Independent Review Organizations (IROs) to support a thorough and compliant review process while preparing clear, professional correspondence for providers, members, representatives, and attorneys. Throughout the day, you'll communicate with claims processors, reinsurers, vendors, providers, members, clients, and legal representatives, helping ensure that every appeal is researched carefully and resolved accurately.

OUR COMPANY

At Unified Group Services, we take care of the customer, and then some! Established in 1996, we're a proud full-service third-party administrator (TPA) for self-funded group health insurance plans. Our mission is centered on you-whether you're a customer or a team member-because we believe that great service starts with a great culture. We empower our customers with innovative programs, cutting-edge technology, and trusted partnerships that help control healthcare costs while ensuring access to top-tier benefits. Every service we deliver is backed by a professional, experienced team that provides personal attention with speed and care. We don't just talk about our values-we live them, training every employee to uphold the principles that have guided us from the beginning. If you're looking to join a company where your work truly makes a difference, Unified Group Services is the place to be.

WHAT WE'RE LOOKING FOR IN A CLAIMS REVIEW ANALYST

You might be perfect for this position if you can meet the following qualifications:

• High school diploma or equivalent
• Proficiency in Microsoft Word, Excel, and Outlook
• Strong mathematical and analytical skills
• Exceptional attention to detail
• Ability to meet critical deadlines

Excellent writing skills with strong grammar and punctuation, effective problem-solving and decision-making abilities, a self-motivated mindset, adaptability, reliable attendance, and a commitment to supporting team goals are preferred.

If you're looking for a role where your work matters and your expertise is valued, this is your opportunity to join a team committed to accuracy, fairness, and exceptional service.