Mass Claims Adjustment Analyst — Data-Driven Facets Expert

Insight Global; United States; On-site; USD 41,328 - 55,104; Full time

Benefits offered by this job

Medical insurance

Vision insurance

401(k)

Job summary

A large managed care organization is seeking an MCA Analyst for a contract-to-hire role. You will work within a claims adjustment team to ensure accurate adjustments after policy changes. Responsibilities include analyzing claims, validating data with SQL/Excel, and managing adjustment processes in Facets. Ideal candidates will have extensive claims processing expertise and experience with Facets. The position offers a base pay range of $30.00 to $40.00 per hour, alongside comprehensive benefits.

Qualifications

• Expertise in end-to-end claims processing within Facets.
• Experience with data validation and accuracy processes.
• Ability to perform root-cause analysis for process improvement.

Responsibilities

• Review and analyze large claim adjustment requests.
• Validate data accuracy using SQL/Excel.
• Run mass claim adjustments in Facets environments.
• Manage adjustment inventory to meet SLAs.

Skills

SQL

Excel

Data Analysis

Claims Processing

Facets

Job description

A large managed care organization is seeking an MCA Analyst for a contract-to-hire role. You will work within a claims adjustment team to ensure accurate adjustments after policy changes. Responsibilities include analyzing claims, validating data with SQL/Excel, and managing adjustment processes in Facets. Ideal candidates will have extensive claims processing expertise and experience with Facets. The position offers a base pay range of $30.00 to $40.00 per hour, alongside comprehensive benefits.