Claims Analyst

We are looking for an Entry-Level Claims Research Analyst to join the team! This is an 8 to 12-week contract position (pays weekly), 100% on-site in San Ramon, CA. It might even lead to a full-time position for the right person! Recent college grads are encouraged to apply.

Responsibilities:

Screen and research all claims to ensure the following:

• Claim contains pertinent and correct information for processing PDRs and adjustments.
• Accurate final claims adjudication by using on-line computer claims payment system. This includes research on previously processed claims when needed.
• Maintain a 97% payment accuracy rate and 98% non-payment accuracy rate.
• Maintain productivity goal.
• Develop Customer Service Request (CSR) as appropriate. Utilize the CSR module to document PDRs/adjustments and generate letters.

Complete special projects as assigned to meet department and company goals.

Identify billing patterns, processing errors, and/or system issues that inhibit the final adjudication of claims.

Requirements:

• High School Diploma/GED is required. Bachelor's Degree is preferred. New grads are encouraged to apply.
• Must type at least 40 WPM on a personal computer/keyboard.
• Strong research, judgment, decision-making and problem-solving skills.
• Ability to work independently or as a team.
• Strong written and verbal communication skills, including maintaining open lines of communication within all departments of the organization.
• Ability to work in a fast-paced environment.
• Ability to focus on repetitive claims, sorting detailed information.

Details:

• This is an 8 to 12-week contract that is 100% on-site in San Ramon, CA.
• Schedule: Monday - Friday, 8:00 am - 4:30 pm
• Location: San Ramon, CA
• Position: Entry-level Claims Research Analyst
• Pay: $20/hr. (paid weekly)
• This is a W-2 position. You must be local to the San Ramon, CA area. No B2C/C2C. No sponsorship.

Malone is an Equal Opportunity Employer.