Healthcare Claims Analyst

Healtcare Claims Analyst

Location:


Burbank, CA - Hybrid (local candidates only)

Summary

Seeking an experienced customer service and claims professional to support participants, providers, and healthcare partners. This role handles claims processing, inbound customer inquiries, eligibility and benefits research, issue resolution, process improvement, and staff training while delivering exceptional customer service.

Key Responsibilities

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  Process healthcare claims and ensure accuracy and compliance.
  
  



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  Handle high-volume inbound calls and resolve benefit, eligibility, and claims inquiries.
  
  



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  Research and resolve complex claims and customer issues.
  
  



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  Train and mentor new team members.
  
  



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  Analyze business processes and recommend improvements.
  
  



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  Develop and maintain policies, procedures, and workflow documentation.
  
  



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  Support operational efficiency and customer satisfaction goals.
  
  

Qualifications

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  Bachelor's degree or equivalent experience.
  
  



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  4+ years of healthcare claims processing experience preferred.
  
  



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  4+ years of call center experience required.
  
  



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  Strong analytical, customer service, and problem-solving skills.
  
  



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  Knowledge of medical terminology, benefits, and eligibility.
  
  



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  Proficiency with Microsoft Office (Excel, Word, Outlook).
  
  



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  Excellent communication and organizational skills.
  
  

Schedule

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  Full-time, Monday-Friday
  
  



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  Occasional overtime or weekends as needed
  
  

All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, Los Angeles County Fair Chance Ordinance, and San Francisco Fair Chance Ordinance.