Claims Correspondence Analyst

Claims Correspondence Analyst

The Claims Correspondence Analyst will serve as a first point of contact for inquiries related to claims. This role is responsible for handling Explanation of Reimbursement (EOR) requests, claim status inquiries, general claim-related questions, and prescreening information received for initial claim file setups. The ideal candidate will have strong communication skills, attention to detail, and the ability to manage multiple priorities in a fast-paced environment.

This position will be based in one of our offices:

• Hamilton Square, NJ
• Marlborough, MA

We offer hybrid work schedule with 4 days in the office; and 1 day remote where it makes sense to do so.

What you can expect:

• Culture of innovation, teamwork, supportive colleagues and leaders willing to invest in talent
• Internal mobility opportunities
• Visibility to senior leaders and partnership with cross functional teams
• Opportunity to impact change
• Benefits competitive compensation, paid time off, comprehensive wellness benefits and programs, employer funded health savings account, profit sharing, 401k, paid parental leave, employee stock purchase plan, tuition assistance and professional continuing education

We'll count on you to:

• Respond promptly and professionally to incoming requests regarding: EOR requests, claim status requests/updates and general claim questions from Account Management, Sales, Brokers, Policyholders and Third-Party Administrators
• Review and prescreen information received for initial claim file setups
• Maintain accurate records of all interactions and updates in the claims system and/or shared drive
• Ensure compliance and company policies, regulatory requirements and confidentiality standards by ensuring that all external communications that contain PHI/PII are sent securely.
• Provide exceptional customer service by delivering clear, concise and professional communication
• Complete all assigned requests within a 48 to 72-hour handling timeframe
• Projects and other work as assigned

What you need to have:

• High school diploma
• Prior experience in claims processing, healthcare administration or customer service strongly preferred
• Strong organizational skills and attention to detail
• Excellent verbal and written communication skills
• Ability to work independently and as part of a team
• Proficiency in Microsoft Office Suite software
• Customer-focused mindset
• Problem-solving and critical thinking
• Time management and multitasking
• Adaptability in a dynamic environment

Additional Company Details:

We do not accept any unsolicited resumes from external recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role include: Base Salary Range: $50,000 - $60,000 Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

Sponsorship not Offered for this Role