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Allied Benefit Systems · 1 day ago

Claims Analyst

United States

Full-time

Remote

Mid Level

$48K/yr - $50K/yr

3+ years exp

Allied Benefit Systems is a company that emphasizes remote work culture, allowing employees to thrive from anywhere. The Claims Analyst will handle communications, adjustments, and the closing of claims with vendors like Blue Cross Blue Shield and Anthem, ensuring timely processing and resolution of claims.

Health CareInsuranceWellness

Responsibilities

Review daily production reports and adjustment reports from Anthem to ensure claims and adjustments are closed within the designated turnaround time

Process all adjustment claims for Anthem and Blue Cross Blue Shield

Send adjustment requests to Anthem and Blue Cross Blue Shield

Assist with questions from other internal departments for both Anthem and Blue Cross Blue Shield

Review exception reports sent by Anthem

Close out any claims in the various Blue Cross Blue Shield applications

Work incentive reports monthly to ensure claims are closed

Review outbound reports daily for Blue Cross Blue Shield

Performs other related duties as assigned

Qualification

Medical claims processingAdjustment experienceQicLink systemExcelWordMicrosoft AccessAccountabilityCommunicationTime ManagementInitiativeCustomer Focus