Medical Claims Analyst

Proactively identifying and triaging complex claims issues, the full-time Complex Claims Analyst will analyze data, manage referrals, and expedite resolutions while working remotely. Key responsibilities Analyzes data to identify complex claims requiring further intervention and triages referrals from regulatory agencies and external entities Determines the most appropriate resource to resolve complex claim issues or complaints Documents clear and concise file notes to facilitate stakeholder understanding of issue evaluations and determinations Required qualifications Five (5) years of liability claims experience or equivalent combination of experience and education Preferred Bachelor's degree from an accredited college or university Subject matter expertise in liability and transportation claims processing Ability to manage claims across multiple jurisdictions Licenses as required for specific jurisdictions preferred