Legal ERISA Claims Analyst

Legal ERISA Claims Analyst (Hospital Claims) - On-Site | Plano, TX Join a growing team focused on resolving complex, high-value healthcare claims. ERISA Recovery specializes in recovering underpaid and denied hospital claims through the federal ERISA appeals process. As we continue to grow, we’re looking for a Legal ERISA Claims Analyst to join our on-site team in Plano, TX. This role is ideal for someone who enjoys detailed case analysis, legal research, and navigating complex healthcare reimbursement issues. You'll play a direct role in turning denied or underpaid claims into successful recoveries for healthcare providers. What You'll Do Analyze hospital claims to identify underpayments, denials, and recovery opportunities Conduct legal research related to ERISA regulations and appeals processes Draft appeal letters and supporting legal documentation Review medical records, billing data, and reimbursement policies Track regulatory and legal updates impacting ERISA claims and apply them to case strategyCommunicate with third-party administrators and payors to determine claim status Use EHR and claims systems to manage and document case progress Collaborate with internal teams to move claims efficiently through the recovery process What We're Looking For 3+ years of experience in a legal, healthcare, or claims analysis role Experience with healthcare insurance claims (ERISA exposure strongly preferred) Strong analytical and research skills with high attention to detail Ability to manage a high volume of cases and prioritize effectively Clear, professional written and verbal communication skills Proficiency in Microsoft Office (Word, Excel, Outlook) What Success Looks Like You can independently manage and analyze a portfolio of claims Your appeal documentation is thorough, accurate, and effective You contribute to increased recovery rates through strong analysis and follow-through Why Join ERISA Recovery Growing company with advancement opportunities Collaborative, team-oriented environment Exposure to complex, high-impact legal and healthcare cases Opportunity to build deep expertise in ERISA and medical claims 401(k) with matching Health, dental, and vision insurance Paid time off Paid lunches Performance-based bonus Location This is a full-time, on-site role in Plano, TX . ERISA Recovery is an Equal Opportunity Employer #J-18808-Ljbffr ERISA Recovery