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Sr. Claims Analyst

Sr. Claims Analyst

TEKsystemsChicago, IL, US
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Job Description

Project Overview :

Our client is building a project team to support the coupon process within their claims system. They are currently developing automation that will allow uploaded coupons to automatically adjust claims with accurate billing. However, at present, a claim may be initiated before a coupon is received, resulting in invoices that do not reflect the discount.

Role Responsibilities :

  • Review full claims and manually apply coupons to ensure accurate billing.
  • Run queries and analyze data using Excel.
  • Recalculate pricing and adjust invoices based on coupon application.
  • Perform hands-on, manual work involving Excel formulas and data manipulation.
  • Ensure final invoices reflect correct pricing after coupon adjustments.

Top Skills Details

Claims, Research, Math, Rx Claims, PBM, Health Insurance, Excel, formulas, adjudication

Additional Skills & Qualifications

  • High School Diploma / GED required
  • Associate or Bachelor degree strongly preferred or equivalent experience
  • Minimum of 5 years of health insurance or PBM claims experience.
  • Must show progression in career to someone who has done a deep level of research within the claims system. They cannot be someone who has allowed the adjudication system to do most of the claim.
  • 3+ years of using Excel daily to run queries, formulas, VLOOKUP's.
  • Pay and Benefits

    The pay range for this position is $35.00 - $45.00 / hr.

    Eligibility requirements apply to some benefits and may depend on your job

    classification and length of employment. Benefits are subject to change and may be

    subject to specific elections, plan, or program terms. If eligible, the benefits

    available for this temporary role may include the following :

  • Medical, dental & vision
  • Critical Illness, Accident, and Hospital
  • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
  • Life Insurance (Voluntary Life & AD&D for the employee and dependents)
  • Short and long-term disability
  • Health Spending Account (HSA)
  • Transportation benefits
  • Employee Assistance Program
  • Time Off / Leave (PTO, Vacation or Sick Leave)
  • Workplace Type

    This is a fully remote position.

    Application Deadline

    This position is anticipated to close on Oct 15, 2025.

    h4>

    About TEKsystems : \n\n

    We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

    \n\n

    The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

    \n\nAbout TEKsystems and TEKsystems Global Services \n\n

    We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

    \n\n

    The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

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