Insurance Claims Review Specialist

State of Arkansas; Little Rock (AR); On-site; USD 47,000 - 70,000; Full time

Job summary

The State of Arkansas is seeking a Claims Review Analyst to evaluate, analyze, and process insurance claims ensuring compliance with agency policies and regulations. This role emphasizes accuracy and risk management across health, property, and workers’ compensation lines.

You will verify documentation, identify discrepancies, assess claim validity, and decide on approvals or denials. Collaboration with underwriting and legal teams is expected to support efficient and compliant claim handling.

Qualifications

• Bachelor’s degree in business, finance, healthcare administration, or insurance studies.
• Experience in claims management and insurance processes.
• Experience with records management and documentation.
• Proficiency with MS Office and data analysis.
• Attention to detail and accuracy in handling records.

Responsibilities

• Review insurance claims for accuracy, completeness, and compliance with policy terms.
• Identify discrepancies, missing information, or potential fraud.
• Collaborate with underwriting and legal teams for complex claim assessments.
• Maintain detailed documentation of claim decisions and actions taken.
• Communicate claim outcomes to policyholders or providers and explain reasoning.
• Stay updated on industry regulations and trends to ensure best practices.

Skills

Excel

Data entry

Spreadsheet management

Reporting

Attention to detail

Policy compliance

Team collaboration

Workflow management

Organizational skills

Claims management knowledge

Education

Bachelor’s degree in business

Bachelor’s degree in finance

Healthcare administration

Insurance studies

Tools

MS Office

Excel

SharePoint

Teams

Documents management software

Job description

The State of Arkansas is seeking a Claims Review Analyst to evaluate, analyze, and process insurance claims ensuring compliance with agency policies and regulations. This role emphasizes accuracy and risk management across health, property, and workers’ compensation lines.

You will verify documentation, identify discrepancies, assess claim validity, and decide on approvals or denials. Collaboration with underwriting and legal teams is expected to support efficient and compliant claim handling.