Claims Analyst jobs in Cincinnati, OH
Claims Analyst analyzes and reviews insurance claims for accuracy, completeness, and eligibility. Reviews claims for eligibility to be reimbursed. Being a Claims Analyst maintains updated records and prepares required documentation. Assists in controlling the cost of processing claims. Additionally, Claims Analyst contacts policyholders about claims and may provide information regarding the amount of benefits. May require a bachelor's degree or its equivalent. Typically reports to a supervisor or manager. The Claims Analyst gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Claims Analyst typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
Recently Added Claims Analyst jobs
Claims Resolution Analyst
- Acosta Group
-
Cincinnati, OH
FULL_TIME
- **Overview** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be responsible for analyzing claims and making decisions about their validity. The position will be a communicator to internal and external business partners and a problem solver/agent for change to provide continuous improvements. **Responsibilities** Processes escalated claims, assesses the reason for the escalation, and provides resolution in priority order as directed by the Supervisor Searches for and links invoices, contracts, and Proof of Performance to claims as needed Uses systems, reports, and Standard Operating Procedures to work assigned claim steps and gather supporting claims information Processes invalid claims in accordance with set policies and guidelines Corrects and resolves claims ‘clean passed’ in error Researches validation issues and recommends appropriate solutions Reviews claims dashboard for actionable items on a frequent basis Meets or exceeds client and customer goals and requirements Makes the final decision on claims validity for escalated claims Sends compliant promotion package for clearing Contacts Sales, clients, customers, and management team for information as needed Proactively manages client and customer target dates to ensure claims are processed in a timely manner Communicates with clients and customers on a regular basis and provides value add solutions Escalates appropriately to the Supervisor when needed to get information or handle complex client and customer situations Understands types of escalations and uses problem solving and analytical skills to resolve them so they do not repeat Works to decrease defects and achieve automation (aka Ready to Clear) targets by keeping Standard Operating Procedures updated Monitors specific escalations data to determine the root cause of an escalation, where it originated and why it occurred Discusses defect issues with Sales, clients, customers, and management team and works with them to address the root cause Recognizes and provides solutions for operational obstacles that delay work completion on claims issues Other duties as assigned **Qualifications** Four years claims experience preferred Food brokerage experience and/or clients’ experience in sales administration is strongly preferred Relationship management experience preferred Accepts accountability for job performance; proactively informs others when he/she encounters problems that may limit his/her ability to meet expectations Accepts change as a normal part of doing business, maintains a positive attitude and exhibiting constructive work behaviors during periods of transition Meets work and attendance expectation; informs others in advance when commitments cannot be fulfilled Actively supports organizational goals and values; aligns actions around organizational goals; gives priority to organizational needs and concerns when making decisions Takes a reasoned logical approach in making judgments and decisions, carefully reviews available facts and information before reaching any conclusions Identifies and gathers relevant information, consults the right people and asks the right questions in a given situation Demonstrates disciplined thinking that is clear, unbiased, analytical and informed by evidence Effectively communicate with others. Must be able to operate a calculator, computer, printer, fax machine, telephone, copier and shredder Acosta Sales & Marketing is an Equal Opportunity Employer By submitting your application you agree with and accept the Acosta Privacy Statement and Terms of Conditions. US: http://acosta.jobs/privacy-policy-us/ Canada: http://acosta.jobs/privacy-policy-ca/ Acosta utilizes E-Verify for validatingthe ability to work in the United States for all job candidates. If you want more information on what this entails and your rights as a job applicant,pleaseusethe link providedto accessinformation onouruse of E-Verify and your right to work. Employer Resources (e-verify.gov) **Work State** _US-OH-Cincinnati_ **Job ID** _2023-226484_ **Work City** _Cincinnati_ **PCN** _241464_ **Position Type** _FULL\_TIME Regular_ **Work Zip** _45241_ **Starting average hours per week** _37.5 _ **Category** _Corporate Jobs_
- 1 Month Ago
Claims Coordinator
- Bon Secours
-
Ohio, OH
OTHER
- With a legacy that spans over 150 years, Bon Secours is a network that is dedicated to providing excellent care through exceptional people. At every level, everyone on our teams have embraced the call...
- 15 Days Ago
Claims Processor
- Computech Corporation
-
Mason, OH
CONTRACTOR
- About Our company: Computech Corporation has over 25 years of experience providing contract, temporary, and direct-hire staffing services. We successfully work with public and private sector entities ...
- 19 Days Ago
Claims Coordinator
- Mercy Health BSMH
-
Ohio, OH
OTHER
- Everyone who works with Mercy Health is united under one purpose: to help our patients be well in mind, body and spirit. This drive, along with our history of faith, is a powerful combination. It give...
- 1 Day Ago
Claims Specialist
- Social Security Administration
-
Batavia, OH
FULL_TIME
- Claims Specialist - job post Social Security Administration (part of U.S. Government) 2,065 reviews Batavia, Ohio Requirement - Bachelor's Degree or Higher Apply now Job details Salary $41,226 - $75,5...
- 4 Days Ago
Claims Clerk
- Canon Business Process Services, Inc.
-
Cincinnati, OH
OTHER
- Overview The Claims Clerk will review insurance claims forms and documents for accuracy and completion and obtain missing information as necessary. Determines claims coverage by examining company reco...
- 10 Days Ago
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0 Claims Analyst jobs found in Cincinnati, OH area
Claims Analyst
- Bernard Nickels & Associates
-
Mason, OH
- Type: Contract Start Date: ASAP End Date: 6/30/2024 (w/ potential for extension) Location: Mason, OH (HYBRID position; i...
- 4/23/2024 12:00:00 AM
Senior Test Analyst
- Diverse Lynx
-
Cincinnati, OH
- Senior Test Analyst Cincinnati - OH Onsite Job Summary : Automation Tester with strong experience on Automation Testing(...
- 4/23/2024 12:00:00 AM
Vice President - Innovation Ventures, tech transfer experience preferred, multitude of educatio[...]
- Cchmc
-
Cincinnati, OH
- Description: Expected Starting Salary Range: -[CENTER FOR TECHNOLOGY COMMERCIALIZATION]DEPARTMENT: Strategy and Transfor...
- 4/22/2024 12:00:00 AM
Claims Testing Analyst
- Global Channel Management, Inc
-
Mason, OH
- Claims Testing Analyst needs claims or data processing / testing experience Claims Testing Analyst requires: Experience ...
- 4/22/2024 12:00:00 AM
Sr. Configuration Data Analyst
- Global Channel Management
-
Mason, OH
- Job Description:Sr. Configuration Data Analyst needs 5+ years' experience with health plans or medical claimsSr. Configu...
- 4/22/2024 12:00:00 AM
Inside Property Claims Adjuster
- Munich Re
-
Amelia, OH
- **Inside Property Claims Adjuster** ** WE OFFER** American Modern Insurance Group is recruiting for Inside Property Adju...
- 4/19/2024 12:00:00 AM
About Cincinnati, Ohio
Cincinnati (/ˌsɪnsɪˈnæti/ SIN-sih-NAT-ee) is a major city in the U.S. state of Ohio, and is the government seat of Hamilton County. Settled in 1788, the city is located at the northern side of the confluence of the Licking and Ohio rivers, the latter of which marks the state line with Kentucky. The city drives the Cincinnati–Middletown–Wilmington combined statistical area, which had a population of 2,172,191 in the 2010 census making it Ohio's largest metropolitan area. With a population of 296,943, Cincinnati is the third-largest city in Ohio and 65th in the United States. Its metropolitan ar...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Analyst jobs
$37,635 to $48,263
Cincinnati, Ohio area prices
were up 1.1% from a year ago
were up 1.1% from a year ago
What does a Claims Analyst do?
Claims Analyst in Elkhart, IN
A medical claims analyst usually receives information via e-mail and uses specialized software programs to enter and manipulate claims data.
December 07, 2019
Claims Analyst in Hartford, CT
Disclose your identity or other information about you to any third party who claims that material posted by you violates their rights, including their intellectual property rights or their right to privacy.
February 07, 2020
Claims Analyst in Newark, NJ
A top crypto analyst is analyzing the current state of Ethereum (ETH) and XRP, the second and third-largest cryptocurrencies by market cap.
February 06, 2020