PR-CLAIMS ANALYST
TPIS•Guaynabo, PR
About The Position
We are seeking a detail-oriented and organized Claims Analyst to evaluate, process, and follow up on claims within the health insurance industry. The selected candidate will be responsible for reviewing documentation, ensuring compliance with policies, and providing support to clients and internal teams.
Requirements
- Education: 60 approved college credits (equivalent to 2 years of university studies) or an Associate Degree
- Experience: Minimum of two (2) years of experience as a Claims Analyst or in a Provider Call Center within the health insurance industry
- Computer Skills: Intermediate proficiency in computers and Microsoft Excel
- Language: Intermediate proficiency in English
- Availability: Must be available to work extended hours, weekends, and holidays as required by operations
Nice To Haves
- Strong attention to detail and analytical skills
- Excellent communication skills
- Ability to multitask and meet deadlines
Responsibilities
- Analyze and process claims accurately and in a timely manner
- Review documents, invoices, and related evidence
- Ensure compliance with policies and procedures
- Investigate discrepancies and resolve issues
- Communicate with clients, providers, and internal departments
- Maintain accurate and up-to-date records
- Prepare reports and claims metrics
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
Upload and Match Resume
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
Associate degree
