The Claim Analyst provides a high level customer service, supports claims teams and handles low level claim files to conclusion.

MAJOR DUTIES & RESPONSIBILITIES:

Duties may include, but are not limited to:

• Investigate and manage limited claim assignments characterized by clear coverage and liability.
• Obtains and documents claim information.
• Completes and documents OMNI as required.
• Provides general administrative and customer service support to claims reps/team members to facilitate efficient claims management.
• Completes claims registrations in OMNI
• Provides backup to Claims Team Assistants as requested.

SCOPE INFORMATION:

This position reports to a Claims Team Leader. There are no positions reporting into this position.

DESIRED QUALIFICATIONS:

• 1-2 years claims processing experience.
• Excellent customer service skills
• Effective written and verbal communication skills with co-workers and outside contacts.
• Effective time management and organizational skills to work in a fast paced, high volume environment.
• Ability to operate independently and make decisions within appropriate scope of authority.
• Working knowledge of windows-based software applications.
• Keyboarding and data entry skills.
• Knowledge of medical terminology a plus.
• Working knowledge of mainframe systems a plus.