Sr. Claims Resolution Analyst
About The Position
Senior Claims Resolution Analysts are responsible for investigating and resolving complex insurance claims. They analyze claim data, review policies, communicate with policyholders and other stakeholders, and negotiate settlements. Senior analysts may also mentor and train junior analysts, provide guidance on difficult cases, and assist with process improvement initiatives. Strong analytical, communication, and problem-solving skills are essential for success in this role. We seek Rebels who are curious about AI and its power to transform how we operate and serve our members. Actively support the achievement of SCAN’s Vision and Goals. Other duties as assigned.
Requirements
- Associate's degree or equivalent experience
- 5+ years of related experience
- Performs work under direct supervision.
- Handles complex issues and problems, and refers only the most complex issues to higher-level staff.
Responsibilities
- Requests additional information, when necessary, for completion of claim processing
- Reviews claims for eligibility
- Maintains updated records and prepares required reports
- Assists in claims cost control
- Contacts individuals about claims and may provide counsel regarding the amount of benefits
- Actively support the achievement of SCAN’s Vision and Goals.
- Other duties as assigned.
Benefits
- Base Pay Range: $64,000 - $92,602 Annually
- Work Mode: Mostly Remote
- An annual employee bonus program
- Robust Wellness Program
- Generous paid-time-off (PTO)
- 11 paid holidays per year, plus 1 additional floating holiday
- Excellent 401(k) Retirement Saving Plan with employer match
- Robust employee recognition program
- Tuition reimbursement
- An opportunity to become part of a team that makes a difference to our members and our community every day!
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
