Program Operations Claims Analyst

Oready; Las Vegas (NV); On-site; USD 45,000 - 60,000; Full time

Job summary

Oready is looking for a Claim Analyzer based in Las Vegas, NV. This role involves reviewing and processing claims related to service contracts for federal and commercial programs, ensuring accuracy, compliance, and efficiency. Candidates must hold an Associate's or Bachelor's degree in a relevant field and have at least 2 years of experience in claims processing or similar work. Strong attention to detail and analytical skills are critical. The position aims at providing support in resolving discrepancies and enhancing workflow efficiency.

Qualifications

• 2+ years of experience in claims processing, benefits administration, billing, or similar analytical work.
• Strong attention to detail with the ability to interpret rules, policies, and contract language.
• Comfortable working with data in spreadsheets and web-based systems.

Responsibilities

• Review and analyze incoming claims and supporting documentation for completeness, accuracy, and eligibility.
• Verify data against contracts, program rules, and internal policies.
• Document decisions and rationale clearly in the claims system.

Skills

Attention to detail

Data interpretation

Claims processing

Analytical thinking

Education

Associate’s or Bachelor’s degree in business, finance, health administration, or a related field

Job description

Oready is looking for a Claim Analyzer based in Las Vegas, NV. This role involves reviewing and processing claims related to service contracts for federal and commercial programs, ensuring accuracy, compliance, and efficiency. Candidates must hold an Associate's or Bachelor's degree in a relevant field and have at least 2 years of experience in claims processing or similar work. Strong attention to detail and analytical skills are critical. The position aims at providing support in resolving discrepancies and enhancing workflow efficiency.