Claims Financial Analyst

LSMA Management Inc • San Bernardino, CA

2h • $75,000 - $80,000

About The Position

The Claims Financial Analyst supports the financial integrity, accuracy, and timely execution of claims and capitation payments to LSMA Management, Inc.’s contracted healthcare provider network. Working closely with the Finance Department and Claims Operations, the role validates high-volume payment activity, performs detailed financial reconciliations, researches variances, and prepares payment and exception reporting.

The position safeguards provider reimbursement processes through transaction review, documentation, compliance with established controls, and recommendations for workflow improvement. It also supports operational and financial decision-making by identifying trends and exceptions and escalating material issues to appropriate leadership.

Requirements

• Associate’s degree in Accounting, Finance, Business Administration, or a closely related field.
• Demonstrated experience with financial transactions, payment reconciliation, accounting support, or related financial operations sufficient to independently perform the core duties.
• Working knowledge of fundamental accounting principles, including GAAP concepts, transaction controls, and reconciliation practices.
• Ability to validate, balance, and investigate high-volume financial data with exceptional accuracy and attention to detail.
• Working knowledge of EFT, ACH, check processing, and payment exception workflows.
• Proficiency in Microsoft Excel and standard reporting tools, including the ability to organize and analyze complex data sets.
• Clear written and verbal communication and effective collaboration across Claims and Finance functions.
• Ability to prioritize deadlines, maintain audit-ready records, protect sensitive information, and escalate issues appropriately.
• Ability to work extended hours during peak periods or audit timelines, as needed.
• Ability to meet the physical demands of the role, including prolonged sitting and computer work, frequent use of hands and fingers, regular walking, standing, bending, and lifting and/or moving up to 15 pounds, and visual acuity to review financial data and reports.

Nice To Haves

• Bachelor’s degree in Accounting, Finance, Business Administration, or a related discipline.
• Experience in healthcare finance, claims operations, provider reimbursement, capitation, MSOs, IPAs, or medical groups.
• Intermediate-to-advanced Excel skills, including pivot tables, lookups, and reconciliation formulas.
• Experience with ERP, payment platforms, or claims administration systems.
• Familiarity with provider reimbursement and capitation methodologies.
• Experience supporting audits and workflow improvements.

Responsibilities

• Validate high-volume claims and capitation payment activity.
• Perform financial reconciliations and research variances.
• Prepare payment and exception reporting.
• Review and document transactions and follow established controls to safeguard provider reimbursement processes.
• Identify trends and exceptions and escalate material issues to appropriate leadership.
• Recommend workflow improvements.

What This Job Offers

• Job Type: Full-time
• Education Level: Associate degree