Claims Correspondence Analyst

Berkley•Atlanta, GA

3d•$50,000 - $60,000•Hybrid

About The Position

The Claims Correspondence Analyst serves as a first point of contact for claim-related inquiries. The role handles Explanation of Reimbursement (EOR) requests, claim status inquiries, general claim questions, and prescreens information for initial claim file setups. The analyst responds to requests from Account Management, Sales, Brokers, Policyholders, and Third-Party Administrators; maintains interaction records; and ensures external communications containing PHI/PII are sent securely in accordance with company policies, regulatory requirements, and confidentiality standards. Assigned requests are completed within a 48- to 72-hour handling timeframe. The position is based in either Hamilton Square, New Jersey, or Marlborough, Massachusetts, with a hybrid schedule of four days in the office and one day remote where appropriate. The role offers a collaborative environment, internal mobility opportunities, visibility to senior leaders, cross-functional partnerships, and opportunities to contribute to change.

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 external communications containing PHI/PII are sent securely and comply with company policies, regulatory requirements, and confidentiality standards.
Deliver clear, concise, and professional communications to provide exceptional customer service.
Complete assigned requests within a 48- to 72-hour handling timeframe.
Complete projects and other work as assigned.