Claims Analyst jobs in Portland, OR
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
Performance Integrity Analyst I - Claims
- Cambia Health Solutions
-
Portland, OR
FULL_TIME
- Performance Integrity Analyst I - Claims Remote within WA, OR, ID and UT Onsite is available to those who reside near one of our office locations within our 4 state region. Facets knowledge is strongly encouraged. Primary Job Purpose: The Performance Integrity Analyst will examine and validate Plan and employee performance according to established policies, procedures and mandated audit guidelines. Monitor accuracy and timeliness of claims, membership and customer service to meet performance and service level goals. Provide reports, feedback and recommendations for quality improvement to management. Responsibilities: Audit claims, enrollment, or customer service activities for accuracy and timeliness according to audit policies, procedures and mandated guidelines. Encourage team and individual contributions toward the company’s quality initiatives in improvement efforts. Participate in team efforts to develop or update department standards. Provide feedback on department’s performance in reaching service and performance level goals. Remain continuously current on changes and/or additions to all other applicable departments’ policies, procedures and guidelines. Thoroughly investigate problems. Identify and report inconsistencies or ambiguities in manuals, policies and guidelines. Compile performance statistics and identify potential trends. Generate reports. Participate in testing implemented system changes. Minimum Requirements: Four years experience in Claims, Membership or Customer Service, depending on current business need, or equivalent combination of education and job-related experience. Ability to understand and apply mathematical concepts. Demonstrated proficient PC skills and familiarity with corporate software, such as Word, Excel and Outlook. Knowledge of claims coding, BlueCard, membership and customer service processes, applicable systems including pricing and provider contract language. Audit experience desirable. Ability to organize and prioritize work. Must be detail-oriented and self-motivated. Must be able to communicate effectively both orally and in writing. A written test may be administered. #LI-remote Work Environment: Work overtime and on weekends due to fluctuating workload. Duties performed in a fast-paced office environment. Sitting and keying for extended periods of time. #LI-remote The starting base pay for the Performance Integrity Analyst is $20.00 - $28.00 an hour, depending on experience and candidates geographic location. The annual incentive payment target for this position is 5%. At Cambia, we take a variety of factors into account when creating a job offer, including your skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. While we offer competitive salaries, in general, we do not hire candidates at or near the top of the pay range. Base pay is just part of the compensation package at Cambia that is supplemented with an exceptional 401(k) match, bonus opportunity and other benefits. In keeping with our Cause and vision, we offer comprehensive well-being programs and benefits, which we periodically update to stay current. Some highlights: medical, dental, and vision coverage for employees and their eligible family members annual employer contribution to a health savings account ($1,200 or $2,500 depending on medical coverage, prorated based on hire date) paid time off varying by role and tenure in addition to 10 company holidays up to a 6% company match on employee 401k contributions, with a potential discretionary contribution based on company performance (no vesting period) up to 12 weeks of paid parental time off (eligible day one of employment if within first 12 months following birth or adoption) one-time furniture and equipment allowance for employees working from home up to $225 in Amazon gift cards for participating in various well-being activities. for a complete list see our External Total Rewards page. We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required. If you need accommodation for any part of the application process because of a medical condition or disability, please email CambiaCareers@cambiahealth.com. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy. As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic. Please review the policy on our Careers site. Everyone is a health care consumer deserving of a simpler, more personalized experience. Cambia is transforming the health care system to revolve around people. For over 100 years we’ve designed people-first health solutions rooted in the nation’s first health plan, a loggers’ wage pool established in the Pacific Northwest. Today that pioneering spirit aligns our family of over 20 companies, including 4 not-for-profit BlueCross and BlueShield licensed health plans serving over 3 million Americans. Cambia blends data science with a compassionate human perspective to anticipate people’s needs, and empower them to make smarter health care choices. Interested in driving accessibility, affordability and quality health care for real people? Apply to any of our open jobs or join the Twitter conversation @Cambia. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.
- 18 Days Ago
Remote Claims Analyst III - 557438
- Forrest Solutions
-
Beaverton, OR
TEMPORARY,CONTRACTOR,FULL_TIME
- Description & Details: The Claims Analyst III (CAIII) works on the full range of claims, correspondence, quality assurance and escalations to ensure the satisfaction of the goals and priorities of the...
- Just Posted
Workers Compensation Adjuster
- TheBest Claims Solutions
-
Portland, OR
FULL_TIME
- To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudic...
- 7 Days Ago
Workers Compensation Adjuster
- TheBest Claims Solutions
-
Portland, OR
FULL_TIME
- To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudic...
- 7 Days Ago
Field Technician
- Hancock Claims Consultants
-
Beaverton, OR
CONTRACTOR
- CLIMB to New Heights… And live the_ American Dream. _Become part of something bigger by contracting with the nation’s top provider of roof and property inspection services working with insurance carri...
- 1 Month Ago
Field Technician
- Hancock Claims Consultants
-
Vancouver, WA
CONTRACTOR
- CLIMB to New Heights… And live the_ American Dream. _Become part of something bigger by contracting with the nation’s top provider of roof and property inspection services working with insurance carri...
- 1 Month Ago
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0 Claims Analyst jobs found in Portland, OR area
100% Remote - QNXT Benefits Configuration Analyst
- Beacon Hill
-
Portland, OR
- NOTE: This is a 100% remote position. Candidates will have to work on EST hours. One of our clients in Norfolk, Virginia...
- 4/26/2024 12:00:00 AM
Remote IT Business Quality Analyst 6414
- Tci Technology Consulting Inc
-
Portland, OR
- TCI has an immediate need for an IT Business Quality Analyst (BQA)in LaGrange, KY. This is a Direct Hire opportunity. Th...
- 4/26/2024 12:00:00 AM
Senior Actuarial Analyst, Valuation *Remote*
- Providence Health & Services
-
Portland, OR
- Job Description Providence Health Plan caregivers are not simply valued - they're invaluable. Join our team and thrive i...
- 4/25/2024 12:00:00 AM
Health Operations Data Analyst (NOT REMOTE)
- Watts Healthcare Corporation
-
Portland, OR
- With over 50 years of service, our goal is to improve the health of the community we serve by creating easier access to ...
- 4/25/2024 12:00:00 AM
Policy Coding Analyst - REMOTE
- Proclinical Staffing
-
Portland, OR
- Policy Coding Analyst - Permanent - Remote Proclinical Staffing is seeking a Policy Coding Analyst to join a cutting-edg...
- 4/25/2024 12:00:00 AM
Performance Integrity Analyst I - Claims
- Cambia Health Solutions, Inc
-
Portland, OR
- Performance Integrity Analyst I - Claims Remote within WA, OR, ID and UT Onsite is available to those who reside near on...
- 4/25/2024 12:00:00 AM
Actuarial Analyst
- Vsolutions Technologies
-
Portland, OR
- Senior Actuarial Analyst, Valuation who will: Analyze and interpret historical data, claim patterns, and other relevant ...
- 4/22/2024 12:00:00 AM
Sr. Actuarial Analyst
- Amtex Systems Inc.
-
Portland, OR
- Job Title Sr. Actuarial Analyst Location Portland, Oregon, United States *** We welcome 100% remote work for residents w...
- 4/22/2024 12:00:00 AM
About Portland, Oregon
Portland is the largest and most populous city in the U.S. state of Oregon and the seat of Multnomah County. It is a major port in the Willamette Valley region of the Pacific Northwest, at the confluence of the Willamette and Columbia rivers. As of 2017, Portland had an estimated population of 647,805, making it the 26th-largest city in the United States, and the second-most populous in the Pacific Northwest (after Seattle). Approximately 2.4 million people live in the Portland metropolitan statistical area (MSA), making it the 25th most populous MSA in the United States. Its Combined Statist...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Analyst jobs
$40,098 to $51,421
Portland, Oregon area prices
were up 3.9% from a year ago
were up 3.9% 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