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Medical Claims Analyst

Medical Claims Analyst

USA JobsMinneapolis, MN, US
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Medical Claims Analyst

We are looking for a dedicated Medical Claims Analyst to join our healthcare team in Minneapolis, Minnesota. In this long-term contract position, you will play a vital role in processing leave of absence claims, ensuring compliance with medical certifications, and calculating benefit allocations. This is an excellent opportunity to contribute to a fast-paced industry while leveraging your expertise in medical claims and benefits administration.

Responsibilities :

Process and manage leave of absence claims by coordinating medical certifications and ensuring timely submissions.

Calculate benefit amounts, including allocations from corporate and state sources, to ensure accurate disbursements.

Review, approve, or deny claims based on established guidelines and medical documentation.

Utilize systems such as ServiceNow and Workday to track, manage, and process claims efficiently.

Maintain detailed records of claims and benefits to ensure compliance and accuracy.

Communicate with healthcare providers to confirm certifications and resolve discrepancies.

Address rejected claims by investigating issues and providing resolutions.

Collaborate with team members to streamline leave administration processes.

Provide guidance to employees regarding medical leave policies and benefits.

Stay updated on state and federal regulations related to leave and benefits administration.

Requirements :

Minimum of 3 years of experience in medical claims processing or a similar role.

Strong knowledge of unemployment claims, medical benefits, and leave administration.

Proficiency in handling leave requests and medical leave claims.

Familiarity with systems such as Workday HCM and ServiceNow Platform.

Ability to interpret and apply state and federal regulations related to insurance benefits.

Excellent analytical and problem-solving skills to manage complex claims.

Strong communication skills to interact with healthcare providers and employees.

Attention to detail and organizational skills to ensure accurate record-keeping and compliance.

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Analyst Medical Medical • Minneapolis, MN, US