Medical Claims Analyst - Remote

TEKsystems; United States; Hybrid; USD 34,000 - 41,000; Full time

Benefits offered by this job

Equipment provided

Job summary

TEKsystems is seeking an IBNR Claims Analyst to support medical claims processes, provider outreach, and refund resolution. This contract role offers remote work with equipment provided and a hybrid setup based in Charlotte, NC.

The ideal candidate brings 2+ years of workers' compensation claims processing experience and familiarity with IBNR claims. Expect high-volume case management and detailed Excel reporting as part of daily duties.

Qualifications

• At least 2+ years worker's compensation claims processing experience.
• Experience working with IBNR claims.

Responsibilities

• Provider Outreach: Contact providers, hospitals, and physician offices to obtain claim payments.
• Claims Verification: Review bill history in the system to confirm receipt and accuracy of claims.
• Refund Processing: Handle refund requests, including overpayment analysis and reimbursement facilitation.
• Claims Research & Resolution: Investigate discrepancies, and resolve appeals.
• Excel Reporting: Create and maintain reports, pivot tables, and document research findings.
• Follow-Ups: Ensure timely receipt of bills (within 10 business days) and complete end-to-end follow-up processes.
• High-Volume Management: Manage approximately 600 open cases and respond to daily email inquiries.

Job description

IBNR Claims Analyst

Remote - Equipment Provided

Compensation Range: $25-$30hr

Monday - Friday 8am-5pm EST

Contract

Description:

Seeking a Medical Claims Analyst to join the IBNR team. This role focuses on supporting claim and billing processes, provider outreach, and refund resolution. The ideal candidate will have strong analytical skills, medical claims experience, and the ability to navigate complex systems while maintaining accuracy.

Job Duties

• Provider Outreach: Contact providers, hospitals, and physician offices to obtain claim payments
• Claims Verification: Review bill history in the system to confirm receipt and accuracy of claims.
• Refund Processing: Handle refund requests, including overpayment analysis and reimbursement facilitation.
• Claims Research & Resolution: Investigate discrepancies, and resolve appeals
• Excel Reporting: Create and maintain reports, pivot tables, and document research findings.
• Follow-Ups: Ensure timely receipt of bills (within 10 business days) and complete end-to-end follow-up processes.
• High-Volume Management: Manage approximately 600 open cases and respond to daily email inquiries.

Qualifications

• At least 2+ years worker's compensations claims processing experience
• Experience working with IBNR claims

#eastpriorty26

Job Type & Location

This is a Contract position based out of Charlotte, NC.

Pay and Benefits

The pay range for this position is $25.00 - $30.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

Eligibility requirements apply to some benefits and may depend on your jobclassification and length of employment. Benefits are subject to change and may besubject to specific elections, plan, or program terms. If eligible, the benefitsavailable for this temporary role may include the following:Medical, dental & visionCritical Illness, Accident, and Hospital401(k) Retirement Plan Pre-tax and Roth post-tax contributions availableLife Insurance (Voluntary Life & AD&D for the employee and dependents)Short and long-term disabilityHealth Spending Account (HSA)Transportation benefitsEmployee Assistance ProgramTime Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a hybrid position in Charlotte,NC.

Application Deadline

This position is anticipated to close on Oct 2, 2026.

About TEKsystems

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

Were a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. Were a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. Were strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. Were building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.