Analyst/ Senior Analyst

Spes Manning

2 - 6 years

4 - 7 Lacs

mumbai

Posted:2 days ago| Platform:

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Skills Required

insurance claims us healthcare claims adjudication claims processing

Work Mode

Work from Office

Job Type

Full Time

Job Description

Roles and Responsibilities

Conduct thorough analysis of insurance claims data to identify trends, patterns, and areas for improvement.
Develop and maintain complex reports using SQL queries to track key performance indicators (KPIs) related to claims processing times, costs, etc.
Stay up-to-date with industry developments in healthcare payer analytics and adjust business strategies accordingly.
Provide expert guidance on claims adjudication processes to internal stakeholders, ensuring compliance with regulatory requirements.
Collaborate with cross-functional teams to develop and implement process improvements that enhance claim processing efficiency and accuracy.

Desired Candidate Profile

2-6 years of experience in insurance claims or a related field.
Strong understanding of US healthcare systems, regulations, and industry standards.
Proficiency in claims processing software applications such as Epic Systems or similar tools.
Excellent analytical skills with ability to interpret large datasets effectively.
Bachelor's degree in Business Administration, Finance, Mathematics or Statistics; Master's degree preferred.

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