Claims Analyst

Job Description

Hybrid Work

JOB DESCRIPTION

General Function:

Prepayment validation of designated claims to ensure appropriate forms and additional documents have been submitted. The analyst will be responsible for monitoring of outgoing letters, requesting additional information when necessary, gathering data to analyze trends with an emphasis on improving processing.

Major Duties and Responsibilities:

• Validate the completeness of designated claims, including forms and additional necessary documentation

• Track claims that require additional information to ensure they are submitted to vendor for letter generation

• Analyze trends and report directly to Claims Manager

• Maintain effective, on-going communication within Claims Team and Manager

Basic Qualifications:

• Experience in Claims processing

• Experience in Microsoft Office

• Intermediate Level knowledge of PCs and spreadsheet applications.

• Strong communication, problem solving, teamwork and organization skills.

• Strong analytical skills and critical thinking.

• Ability to work cross functionally.

Preferred Qualification:

• Analysis experience.

• Knowledge of Business Objects

• Knowledge of Facets

• Highly motivated self-starter. Company Description

Incorporated in 1991, Real Soft Inc. (RSI) is a US-based global software solutions company, a pioneer in providing professional services and delivering business solutions. Our persistent focus has been on forging strong relationships through service excellence and cost containment for customers.

Address:

125 Village Blvd

Forrestal Village, Suite 200

Princeton, NJ 08540

Hybrid remote