Strategic Health Claims Analyst

Carnival Cruise Line; Miami (FL); On-site; USD 80,000 - 110,000; Full time

Benefits offered by this job

Health Benefits

401(k) with company match

On-site Fitness center

Job summary

Carnival Cruise Line is seeking a Specialist, Health Claims to support health claims processing, accounts payable, and financial analysis within the Health Services division.

The role involves reviewing and adjudicating medical claims, maintaining financial reviews, and developing dashboards to monitor KPIs and costs. Collaboration with providers and internal teams is essential for timely resolutions and cost containment.

Qualifications

• Bachelor’s degree in Business, Finance, Accounting, or Healthcare Administration.
• CPB or similar medical billing credential preferred.
• 2+ years of experience in healthcare finance, claims processing, or related field.

Responsibilities

• Manage high-cost and complex medical claims, ensuring timely cost recording and closure.
• Oversee claims inventory, monitor open/pending/close claims and aging.
• Review, verify and process medical invoices; ensure accuracy and proper documentation.
• Develop dashboards and reports to monitor KPIs and financial impact.

Skills

Health claims processes

Financial analysis

Vendor communication

Cross-functional collaboration

Excel

Education

Bachelor's degree in Business, Finance, Accounting, or Healthcare Administration

Tools

Power BI

Excel

PowerApps

Job description

Carnival Cruise Line is seeking a Specialist, Health Claims to support health claims processing, accounts payable, and financial analysis within the Health Services division.

The role involves reviewing and adjudicating medical claims, maintaining financial reviews, and developing dashboards to monitor KPIs and costs. Collaboration with providers and internal teams is essential for timely resolutions and cost containment.