Claims Analyst III

A company is looking for a Claims Analyst III to identify, analyze, and recover claim overpayments for clients.

Key Responsibilities

Assist clients in identifying, validating, and recovering claim overpayments

Review and resolve disputed overpayments and participate in knowledge sharing to address claim issues

Analyze medical and pharmacy claims data to identify trends and opportunities for overpayment recovery

Qualifications

Bachelor's degree in accounting, business, healthcare, or a related field, or equivalent work experience

5+ years of experience in the identification, analysis, and recovery of claim overpayments

Strong understanding of calculations and medical terminology

Excellent computer skills, particularly in Excel

Proven ability to collaborate and build relationships with various stakeholders