Insurance Claims Analyst We're looking for a Claims Analyst to support timely, accurate processing of medical-related claims. If you enjoy detail-oriented work, helping members and providers get clear answers, and working in a fast-paced team environment, this opportunity could be a great fit. Key Responsibilities / What You'll Do Review and analyze claim forms and related documentation Determine benefit coverage using clinical edits, plan documents, and claim guidelines Investigate, pend, and refer claims while following established procedures Handle correspondence, claims, and referrals within required turnaround times Support the Claims Reinsurance team with assigned research and resolution tasks Communicate with employees/members, providers, clients, and other carriers as needed Qualifications / What We're Looking For 1+ year of current Health Insurance claims processing experience required Self-funded insurance/benefits and/or TPA experience preferred Knowledge of medical terminology and medical procedure/diagnosis coding Familiarity with Summary Plan Documents (SPDs) and/or insurance booklets preferred Strong verbal and written communication, discretion, and ability to adapt Comfortable learning new systems and using MS Excel/Word Why Join the Team? Join a production-focused group where accuracy matters, collaboration is valued, and the right hire has a strong likelihood of becoming permanent .

Job Details Job Type:

Temp (Long-term with likelihood of hire) Pay /

Salary:

$22-$23/hr Hours /

Schedule:

Monday through Friday 8:30am-5pm EST; 9am-5:30pm EST; or 9:30am-6pm

EST Location:

Remote but must be located in Pennsylvania for payrolling #tsaj