Senior Claims Refund Analyst (Remote)

Allied Benefit Systems, LLC; Chicago, Northern (IL, KY); Hybrid; USD 50,000 - 55,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Disability insurance

Paid time off

Tuition reimbursement

EAP

Technology stipend

Job summary

Allied Benefit Systems, LLC is seeking a Senior Refund Analyst to coordinate and process refunds on claims. This full-time role is remote with a strong emphasis on accuracy, reporting, and collaboration with the claims team.

Ideal candidates have 5+ years in claims processing, preferably with QicLink, and are proficient in Word and Excel. The position includes comprehensive benefits and the flexibility of a remote work environment.

Qualifications

• Minimum of 5 years of claims processing experience, preferably on the QicLink system.
• Proficient with Microsoft Word and Excel; able to learn other data systems.

Responsibilities

• Log, track and process all refunds received
• Sort and copy paperwork for refunds when applicable
• Collaborate with other claims staff to determine refund appropriateness
• Provide monthly reports on processing errors causing unsolicited refunds
• Track overpayment projects
• Other duties as assigned

Skills

Claims processing

Analytical thinking

Communication

Education

High school diploma or equivalent

Tools

QicLink

Microsoft Word

Microsoft Excel

Job description

Job Details

Job Location: Allied Benefit Systems - CHICAGO, IL 60606

Position Type: Full Time

Salary Range: $50,000.00 - $55,000.00 Salary

Job Category: Operations

Position Summary

The Senior Refund Analyst is responsible for coordinating and processing all refunds received on claims.

Essential Functions

• Log, track and process all refunds received
• Responsible for sorting and copying paperwork for refunds when applicable
• Works with other claim department personnel when necessary to determine appropriateness of refunds.
• Provide monthly reports regarding processing errors that result in unsolicited refunds
• Tracking overpayment projects.
• Other duties as assigned

Education

• High school diploma or equivalent required

Experience and Skills

• Minimum of 5 years of claims processing experience, preferably on the QicLink claims processing system. Adjustment experience is required.
• Applicant must be proficient at the use of Microsoft Word and Excel and have the ability to easily learn other data systems.

Position Competencies

• Accountability
• Analytical Thinking
• Collaboration
• Communication
• Customer Focus
• Functional Expertise
• Initiative

Physical Demands

• This is a standard desk role that requires extended periods of sitting and computer work

Work Environment

• Remote

Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive.

The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life and Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.

Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.