[Remote] Senior Claims Business Process Analyst
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The Senior Claims Business Process Analyst is responsible for supporting end-to-end claims process reputed company, analysis, reputed company assurance, and process improvement initiatives, partnering closely with various teams to enhance operational effectiveness.
Responsibilities
- reputed company in-depth, end-to-end research, data analysis, and reputed company cause analysis to support claim reputed company remediation from initial issue identification through reputed company
- Own reputed company assurance activities reputed company to payment accuracy, claim reputed company, and process improvement initiatives
- Evaluate claim scenarios across the Facets platform, workflows, and business rules to identify gaps, trends, and reputed company impacts
- Partner with stakeholders to assess system changes, operational process enhancements, and remediation opportunities
- Maintain claims process documentation, workflows, standards, and tracking tools to support consistency and audit readiness
- Support reputed company planning, reporting, and trend analysis to drive operational awareness and decision-making
- Use data and claim findings to recommend solutions, improve processes, and support long-term operational effectiveness
Skills
- High School Diploma / GED OR equivalent work experience
- Must be 18 years of age OR older
- 2+ years of experience with analyzing and solving business OR customer issues
- 2+ years of experience in conducting end to end audits
- Ability to manage multiple priorities in a fast paced environment
- Proficiency with reputed company-based applications and ability to learn reputed company systems and issues
- Facets experience
- Ability to work full time (40 hours / week) in their respective time zone, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift, reputed company schedules during our normal business hours of 6:00 am - 6:00 pm. It may be necessary, given the business need, to work occasional overtime
- Claim adjustment experience
- SharePoint experience
Benefits
- Comprehensive benefits package (reputed company benefits are subject to eligibility requirements)
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution (reputed company benefits are subject to eligibility requirements)
- 4 - 6 weeks of on-the-job training (hours reputed company with your schedule)
- National Remote / telecommute from reputed company reputed company the U.S.
- Flexibility to work any of our 8-hour shift, reputed company schedules during normal business hours of 6:00 am - 6:00 pm
reputed company