Claims Correspondence Analyst

Berkley•Atlanta, GA

1d•Hybrid

About The Position

The Claims Correspondence Analyst is the first point of contact for claims-related inquiries. The role handles Explanation of Reimbursement (EOR) requests, claim status inquiries and updates, general claim questions, and prescreens information for initial claim file setups. The analyst maintains accurate records, protects confidential information, and delivers clear, professional customer service while completing assigned requests within a 48- to 72-hour handling timeframe. The position is based in Hamilton Square, New Jersey, or Marlborough, Massachusetts, with a hybrid schedule of four days in the office and one remote day where appropriate.

Requirements

High school diploma.
Strong organizational skills and attention to detail.
Excellent verbal and written communication skills.
Ability to work independently and as part of a team.
Proficiency in Microsoft Office Suite software.
Customer-focused mindset.
Problem-solving and critical-thinking skills.
Time management and multitasking skills.
Adaptability in a dynamic environment.

Nice To Haves

Prior experience in claims processing, healthcare administration, or customer service is strongly preferred.

Responsibilities

Respond promptly and professionally to EOR requests, claim status requests and updates, and general claim questions from Account Management, Sales, brokers, policyholders, and Third-Party Administrators.
Review and prescreen information received for initial claim file setups.
Maintain accurate records of interactions and updates in the claims system and/or shared drive.
Ensure compliance with company policies, regulatory requirements, and confidentiality standards, including securely sending external communications containing PHI or PII.
Provide exceptional customer service through clear, concise, and professional communication.
Complete assigned requests within a 48- to 72-hour handling timeframe.
Complete projects and other work as assigned.