claims quality analyst

Harbor Claims LLC

<div>Description: Job Overview
Our Claims Analyst I&rsquo;s are our entry-level team members who are selected for, participate in and earn the opportunity to graduate from our Harbor Claims College. During Claims College, they are considered students and learn how to handle basic claims the Harbor Claims way in both a classroom and hands-on environment. After successful completion of Harbor Claims College, our Claims Analysts I initially focus their attention on providing constant, top-quality and highly-responsive service to our customers in order to successfully handle first notice of loss (FNOL) communications and or routine claims inquiries and/or issues from policyholders, agents and other Company team members. Concurrently, in order to expose the Claims Analyst I&rsquo;s to the &ldquo;nuts and bolts&rdquo; of the Harbor Claims way, our Claims Analyst I&rsquo;s provide other administrative and technical assistance in support of their team. Eventually, as their knowledge base expands, our Claims Analyst I&rsquo;s are tasked with handling routine claims files within minimum levels of authority and then receive increased exposure to more challenging files as they demonstrate mastery and ability. Our Claims Analyst I&rsquo;s have varied backgrounds, but all come to the job ready, willing and able to quickly and thoroughly learn the &ldquo;ins and outs&rdquo; of Cabrillo claims handling from their team leaders and specialists.
Job Responsibilities
Under close supervision, provides outstanding service to Harbor Claims external and internal customers; utilizes tact, diplomacy and professional communication skills to positively represent Harbor Claims in telephone and email contacts; per Company claims guidelines, Company quality and time standards and governmental regulations, appropriately and correctly responds via telephone and email interactions to claimants&rsquo;, agents&rsquo; and third party representatives&rsquo; routine claims, policy and other related inquiries and issues; handles first notice of loss communication and/or communicates with customers on assigned pending claims files on an ongoing basis.
Within minimum levels of authority and required time frames and with close supervision, assigns applicable claims to independent and/or Harbor Claims field adjusters; provides professional and responsive assistance on pending claims to independent and/or Harbor Claims field adjusters; develops and maintains effective working partnerships with independent and field adjusters to ensure prompt and appropriate claims&rsquo; actions.
Within minimum authority levels and time frames, with close supervision, and adeptly utilizing assigned tools, analyzes claims information to determine appropriate settlement; communicates with claimant regarding settlement; settles claim and closes files; when outside scope of authority, clearly communicates pertinent information regarding files and works with other assigned analysts and/or leaders to ensure prompt resolution of claims.
Maintains claims files in compliance with governmental regulations and Company standards; efficiently and effectively utilizes multiple Carrier and Harbor Claims Information Systems/Programs to accurately maintain Claims files and file diaries.
As requested by leaders and/or other analysts, assists in review of designated files for subrogation potential; as warranted, identifies potential subrogation opportunities; clearly communicates findings to leaders, other analysts and/or subrogation specialist and provides follow-up assistance and support, as necessary.
Actively contributes as a member of the Harbor Claims Team by providing assistance and support to assigned claims, underwriting, customer support, product, sales and/or other team members; as requested.
Participates in and/or assists with &ldquo;special&rdquo; Company projects, including CAT planning, organization, and preparation as directed.
Dynamically enhances Company&rsquo;s success by taking advantage of learning and development opportunities and personally integrating positive actions to improve individual performance.
Job Family Overview
Our Harbor Claims team provides direct, prompt, courteous and professional service to our policyholders, their agents, legal counsel and/or other third party representatives in the unfortunate event that the policyholders&rsquo; residential property is damaged or lost due to a covered event. To that end, our claims team members apply their technical know-how on a daily basis to review, investigate, evaluate and settle claims in a timely and equitable manner while also successfully and responsively handling claims inquiries and/or issues from many different people, including policyholders, agents, claimants&rsquo; third party representatives, as well as internal customers or carrier representatives, as assigned.
Most of our employees on our Harbor Claims team are in positions that are included in our claims analyst progressive job series, comprised of Claims Analyst I, II and III. By utilizing a progressive job series, our claims analysts are able to learn and consequently earn advancement on the claims team and in the Company. We provide clear criteria that defines what represents demonstrated mastery at each level. Once an incumbent has mastered that position in the progressive job series, he/she, with his/her claims team leader&rsquo;s active input and agreement, is eligible to advance to the next level in the series, increasing his/her responsibility, authority and pay levels as a result. At Harbor Claims, along with our claims analysts&rsquo; progressive job series, we also have a field adjusters&rsquo; job series. A claims analyst is differentiated from a field adjuster in that the claims analyst is our internal &ldquo;desk&rdquo; adjuster located at our headquarters office who might, depending on the type, severity and/or location of claim, request a field adjuster or an independent adjuster go out and investigate a claim on the Company&rsquo;s behalf while the field adjuster is out in the field on a day-to-day basis examining claims.
The other positions on our claims team include our claims team leaders and claims team specialists. These positions, respectively, are the supervisory and expert level positions on the team. Both types of positions require incumbents who are exceedingly well-versed in - and passionate about - their chosen profession of claims and additionally require incumbents with a remarkable understanding of, deep appreciation and respect for and ability to flourish in the Company&rsquo;s unique culture and work environment. Our claims team leaders serve a vital role in our Company&rsquo;s success by utilizing their demonstrated and dynamic leadership strengths to provide front-line day-to-day coaching, supervising &amp; leading of assigned claims analysts and/or field adjusters, while also continuing to carry out their respective day-to-day claims handling duties as working claims analysts. Comparable to our claims team leaders, our claims team specialists are also expected to carry out their assigned day-to-day claims handling or field adjusting duties as working claims analysts, while also continually demonstrating an exceptional depth and/or breadth of technical knowledge and claims expertise. Due to the breadth of their knowledge, they serve as the Go-To for the claims and customer support teams in those niche areas. Furthermore, as a result of the breadth of their knowledge, they are the team members who, at a moment&rsquo;s notice due to fluctuating business needs, can also be open, flexible, willing and adroitly able to take on additional pending and/or new claims files as needed. Our team specialists are expected to train team members on a recurring basis by teaching new hires how to do things our way (aka, the right way the first time), training current team members about new information and/or tasks and/or teaching multiple team members on a large-scale, even Company-wide, basis about a discipline in which the incumbent demonstrates proven expertise and knowledge. Finally, both our team leaders and specialists may spearhead a myriad of special projects producing important results and positive impact for the Company.
Requirements: Skills and Expertise
Qualities: quality- oriented; detail-oriented; self-starter; team player; multi-tasker; adaptability; flexibility; strong work ethic; positive &ldquo;can do&rdquo; attitude; collaborator; financially-oriented; service-oriented; coachable; dependable.
Strong skill sets in the following areas: effective decision-making; time management/working under tight deadlines; information and financial review and analyses; organization; problem analyses/solving; active listening; asking good questions to learn about claims handling; oral and written communication; interpersonal communication.
Strong knowledge of: business writing, grammar and punctuation rules; telephone and email business etiquette rules; desktop computer operations; standard business software and web-based engine operations (e.g., Microsoft Word, Microsoft Excel, Microsoft Outlook and Internet Explorer). MS Access and MS PowerPoint a plus.
Licenses, Education and/or Experience
Bachelor&rsquo;s Degree or equivalent work experience. Insurance-related degree or residential property claims customer service experience is highly desirable. A current 6-20 adjuster license, other applicable states&rsquo; adjuster license/s and/or required obtainment of specified license/s within three months of hire, specific to the job opening, is required.</div>

Claims Analyst I/II (Residential Property)

<div>Description: Job Overview
Our Claims Analyst III&rsquo;s are highly-seasoned residential property (1st party) and/or liability (3rd party) claims professionals who are dedicated to doing an outstanding job of accurately and effectively handling a heavy claims file load of the full range of routine to complex claims for the Company. Additionally, our Claims Analyst III&rsquo;s provide constant, top-quality and highly-responsive service to successfully handle even the most advanced claims inquiries and/or issues from policyholders, agents, third party representatives and other Company team members.
Job Responsibilities 
In the spirit of our Company&rsquo;s mission, values and culture, the duties listed below serve as illustrations of the various types of work that may be performed by our Claims Analyst II&rsquo;s. We may also expect our Claims Analyst II&rsquo;s to carry out other responsibilities that are similar, related or a logical assignment to this job class.<ul><li>
With minimal supervision, provides outstanding service to Harbor Claims external and internal customers; utilizes tact, diplomacy and professional communication skills to positively represent Harbor Claims in telephone and email contacts; per Company claims guidelines, Company quality and time standards and governmental regulations and with minimal supervision, appropriately and correctly responds via telephone and email interactions to a wide range of routine to complex claimants&rsquo;, agents&rsquo; and third party representatives&rsquo; claims, policy and other related inquiries and issues.</li><li>
Within designated levels of authority and required time frames and with minimal supervision, assigns applicable claims to independent and/or Harbor Claims field adjusters; provides professional and responsive assistance on pending claims to independent and/or Harbor Claims field adjusters; develops and maintains effective working partnerships with independent and field adjusters to ensure prompt and appropriate claims&rsquo; actions; correctly reviews, assesses and applies independent and/or field adjusters&rsquo; findings in order to appropriately handle the respective claims.</li><li>
Within designated authority levels and time frames, with minimal supervision and adeptly utilizing assigned tools, analyzes claims information to determine appropriate settlement; as required, requests, obtains, reviews and evaluates outside experts&rsquo; (including engineers, architects, construction contractors and attorneys) opinions and/or information and confers with experts; communicates with claimant regarding settlement and effectively negotiates, when necessary; as required, interviews and records statements of claimants and witnesses to gather pertinent information; communicates with claimant regarding settlement and effectively negotiates, as necessary; settles claim and closes a wide spectrum of files including those with increased complexity, severity and/or exposure and/or which may be attorney- or third-party-represented; when claim is outside scope of authority or is attorney or third-party represented, actively and professionally works the file while maintaining clear communication and ongoing interaction with management, internal legal counsel and/or outside legal counsel, as appropriate, to ensure prompt timely and fair resolution of claims; may participate in mediation and/or court proceedings.</li><li>
Maintains exceptionally thorough, accurate claims files in compliance with governmental regulations and Company standards; efficiently and effectively utilizes multiple Carrier and Harbor Claims Information Systems/Programs to accurately maintain Claims files and file diaries.</li><li>
Reviews assigned files for subrogation potential; as warranted, identifies potential subrogation opportunities; clearly communicates findings to subrogation specialist and provides follow-up assistance and support, as necessary.</li><li>
Actively contributes as a member of the Harbor Claims Team by providing assistance and support to assigned claims, underwriting, customer support, product, sales and/or other team members; as requested, researches routine to more difficult policy, coverage and eligibility provisions; develops and communicates provision findings, analyses and/or recommendations to appropriate internal and/or external contacts .</li><li>
Participates in and/or actively assists with &ldquo;special&rdquo; Company projects, including CAT planning, organization, and preparation, vendor management or others, as directed.</li><li>
Dynamically enhances Company&rsquo;s success by taking advantage of learning and development opportunities and personally integrating positive actions to improve individual performance.</li></ul>
Requirements: Skills and Expertise 
Qualities: quality- oriented; detail-oriented; self-starter; team player; multi-tasker; adaptability; flexibility; strong work ethic; positive &ldquo;can do&rdquo; attitude; collaborator; financially-oriented; service-oriented; coachable; dependable.
Strong skill sets in the following areas: effective decision-making; time management/working under tight deadlines; information and financial review and analyses; organization; problem analyses/solving; active listening; asking productive questions with an ability to apply learned information to a variety of related or similar situations; oral and written communication; interpersonal communication.
Strong knowledge of: advanced understanding of personal lines products, including residential homeowners and personal umbrella products; depending on area of focus, advanced understanding of property-related (1st party) and/or liability-related (3rd party) principles, practices, processes and terminology; business writing, grammar and punctuation rules; telephone and email business etiquette rules; desktop computer operations; standard business software and web-based engine operations (e.g., Microsoft Word, Microsoft Excel, Microsoft Outlook and Internet Explorer). MS Access, MS PowerPoint a plus. Thorough knowledge of Xactimate required.
Licenses, Education and/or Experience 
For external candidates applying to a Claims Analyst III position: Bachelor&rsquo;s Degree and five or more years residential property (1st party) or liability (3rd party) experience or equivalent. Must hold a current 6-20 Claims Adjuster or equivalent (for other applicable states) license, as required by job opening.</div>

Claims Analyst III (Residential Property and/or Liability)

Global Software Solutions Group

<div>
 We are seeking a detail-oriented and analytical Data Analyst with experience in the insurance domain, data migration initiatives, and Master Data Management (MDM). The ideal candidate will support large-scale transformation projects involving policy, claims, underwriting, and customer data while ensuring high data quality, integrity, and governance standards.
 
 
 This role requires strong analytical skills, business domain knowledge in insurance, and hands-on experience in data mapping, reconciliation, validation, and MDM processes.
 
 
 
 Key Responsibilities
 
 
 
 <ul>
 <li>
 Insurance Domain Data Analysis
 </li>
 <li>
 Analyze insurance data across Policy Administration, Claims, Underwriting, Billing, and Reinsurance systems
 </li>
 <li>
 Work closely with business stakeholders to understand data requirements and regulatory needs
 </li>
 <li>
 Interpret complex insurance data models and business rules
 </li>
 <li>
 Data Migration
 </li>
 <li>
 Perform source-to-target data mapping and transformation logic documentation
 </li>
 <li>
 Conduct data profiling, cleansing, validation, and reconciliation activities
 </li>
 <li>
 Identify data gaps, inconsistencies, and quality issues during migration
 </li>
 <li>
 Support migration from legacy systems to modern core insurance platforms
 </li>
 <li>
 Validate migrated data through UAT and post-migration audits
 </li>
 <li>
 Master Data Management (MDM)
 </li>
 <li>
 Support implementation and maintenance of MDM frameworks
 </li>
 <li>
 Manage different data sets and data sources
 </li>
 <li>
 Define and monitor data quality KPIs
 </li>
 <li>
 Ensure standardization, de-duplication, and golden record creation
 </li>
 <li>
 Work with governance teams to enforce data standards and policies
 </li>
 <li>
 Reporting &amp; Insights
 </li>
 <li>
 Develop dashboards and reports using tools such as Microsoft Power BI and Tableau
 </li>
 <li>
 Perform ad-hoc analysis to support underwriting and claims performance
 </li>
 <li>
 Present data insights to business and leadership teams
 
 
 </li>
 </ul>
 
 Required Qualifications
 
 
 
 <ul>
 <li>
 Bachelor's degree in data science, Computer Science, Statistics, Finance, or related field
 </li>
 <li>
 4-8 years of experience as a Data Analyst, preferably in the insurance domain
 </li>
 <li>
 Strong SQL skills (e.g., Oracle Database, Microsoft SQL Server, , MySQL)
 </li>
 <li>
 Experience in data migration projects (ETL, mapping, reconciliation)
 </li>
 <li>
 Hands-on experience with Master Data Management concepts and tools
 </li>
 <li>
 Strong understanding of data governance and data quality frameworks
 </li>
 <li>
 Knowledge of insurance regulatory requirements and compliance standards
 </li>
 <li>
 Proficiency in Excel and data analysis techniques
 </li>
 <li>
 Knowledge of visualization tools will be an added advantage
 </li>
 </ul>
</div>

Data Analyst - Insurance domain

The Hartford

<div>Sr Ability Analyst - C409AN
Ability Analyst - C410AN
We&rsquo;re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals &ndash; and to help others accomplish theirs, too. Join our team as we help shape the future.
Are you someone who likes helping others, especially in times of need? Do you pride yourself on finding solutions and solving problems, by being a good listener and critical thinker? This is your opportunity to give those passions and talents new purpose by applying them to meaningful work at The Hartford. The Short-Term Disability Analyst, primarily investigates claims to determine if the insured person qualifies for STD benefits and works with them on a treatment plan to return to work as soon as responsibly possible. The Short-Term Disability Analyst supports our mission of helping our customers rebuild their lives after an unexpected event or illness happens while following corporate claim standards, policies and procedures, and statutory, regulatory and ethics requirements.
This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office locations (Hartford, CT, Naperville, IL, San Antonio, TX, Lake Mary, FL, Phoenix, AZ) will have the expectation of working in an office 3 days a week (Tuesday through Thursday). Candidates who do not live near an office will have a remote work arrangement, with the expectation of coming into an office as business needs arise.
Start Dates/ Training Details:<ul><li>
Stag Week: July 6th, 2026</li><li>
Training Begins: July 13th, 2026</li><li>
Hours: 8:00 AM &ndash; 4:30 PM (Virtual)</li><li>
Duration: 6 weeks</li></ul>
Post-Training Schedule<ul><li>
Work Hours: Core Business Hours</li></ul>
Responsibilities<ul><li>
Collaborate with internal and external stakeholders to obtain and share information related to long-term disability claims.</li><li>
Deliver outstanding customer service through professional written and verbal communication.</li><li>
Collect and analyze information, applying critical thinking and mathematical skills to make sound decisions and draw accurate conclusions.</li><li>
Apply business acumen and technical expertise to make ethical, well-informed decisions based on analysis, experience, and judgment, with management guidance as needed.</li><li>
Commit to meeting the expectations and requirements of both internal and external customers.</li><li>
Contribute to a positive team culture that supports Group Benefit Claims Diversity and Inclusion initiatives and objectives.</li></ul>
Qualifications<ul><li>
High School Diploma or GED required; Associate&rsquo;s or Bachelor&rsquo;s degree preferred.</li><li>
Minimum of 1 year of quality customer service experience required.</li><li>
At least 1 year of claims experience required</li><li>
Familiarity with medical terminology is a plus.</li><li>
Experience reviewing medical records strongly preferred.</li></ul>
Skills &amp; Competencies<ul><li>
Exceptional organizational and prioritization skills.</li><li>
Strong problem-solving abilities.</li><li>
Professional verbal and written communication skills.</li><li>
High attention to detail with consistent accuracy and quality, while meeting productivity goals in a fast-paced environment.</li><li>
Ability to work effectively within a structured team environment.</li><li>
Proficiency in Microsoft Office and ability to navigate multiple systems simultaneously.</li></ul>
Compensation
The listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The base pay is just one component of The Hartford&rsquo;s total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized base pay range for this role is:
$46,222-$68,200
The posted salary range reflects our ability to hire at different position titles and levels depending on background and experience.
Equal Opportunity Employer/Sex/Race/Color/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age</div>

Senior Ability Analyst

South Central Regional Medical Center

<div>Epic Billing Claims &amp; Electronic Remittance Analyst &ndash; Job Description
Position Summary
The Epic Billing Claims and Electronic Remittance Analyst is responsible for the design, build, optimization, and support of Epic Revenue Cycle functionality related to claims submission, remittance advice (ERA), and payer connectivity. This role partners closely with Revenue Cycle, Patient Financial Services, IT, and external payers to ensure accurate, timely billing and reimbursement while supporting continuous optimization and regulatory compliance.
Application Build &amp; Configuration<ul><li>
Configure, support, and optimize Epic Billing Claims, Electronic Remittance (ERA), and related Revenue Cycle workflows.</li><li>
Build and maintain claim formats, payer edits, remittance routing, adjustment reason codes and posting logic.</li><li>
Support clearinghouse integrations and payer connectivity.</li><li>
Configure and troubleshoot ANSI X12 transactions (837, 835, 276/277, 999).</li><li>
Maintain payers-specific rules, claim edits, and remittance mapping.</li></ul>
Claims &amp; Remittance Operations<ul><li>
Troubleshoot claim rejections, denials and remittance posting issues.</li><li>
Analyze payer responses and identify root causes of claim failures or posting discrepancies.</li><li>
Support electronic payment posting, secondary billing and reconciliation processes.</li><li>
Partner with billing and follow-up teams to improve first-pass claim acceptance and payment accuracy.</li></ul>
Optimization &amp; Reporting<ul><li>
Participate in optimization initiatives to improve claims throughput, reimbursement accuracy and cash flow.</li><li>
Analyze workflows and recommend system enhancements aligned with Epic best practices.</li><li>
Develop and maintain reports and dashboards related to claims status, remittance posting and payer performance.</li><li>
Support system upgrades, patches and new Epic functionality related to billing and remittance.</li></ul>
Collaboration &amp; Governance<ul><li>
Collaborate with operational stakeholders, payers, clearinghouses, and vendor partners.</li><li>
Participate in governance groups, optimization committees, and project workgroups.</li><li>
Assist with testing (unit, integrated, and user acceptance testing) for Revenue Cycle changes.</li><li>
Provide end-user training, documentation, and ongoing support.</li></ul>
Compliance &amp; Quality<ul><li>
Ensure Epic build and workflows comply with regulatory requirements (CMS, HIPAA, payer rules).</li><li>
Support audits related to billing, claims, and remittance processing.</li><li>
Follow change management and documentation standards.</li></ul>
Qualifications
Required<div><ul><li>
Bachelor&rsquo;s degree in Information Systems, Business, Healthcare Administration, or a related field; or equivalent experience.</li><li>
1&ndash;3+ years of Epic experience preferred (Hospital Billing, Professional Billings, Claims, and Remittance).</li><li>
Hands-on experience supporting revenue cycle with focus on claims and electronic remittance.</li><li>
Understanding of healthcare billing workflows and payer interactions.</li><li>
Knowledge of EDI transactions (837, 835) and remittance processes.</li></ul></div><ul><li>
Strong analytical, problem‑solving, and troubleshooting skills.</li><li>
Excellent communication and customer service abilities.</li></ul>
Preferred<ul><li>
Epic certification in Billing or willingness to obtain within 90 days.</li></ul>
Competencies<ul><li>
Ability to translate billing workflows into technical Epic configuration.</li><li>
Strong attention to detail and commitment to documentation accuracy.</li><li>
Ability to work both independently and collaboratively with clinical teams.</li><li>
Strong organization, time management, and prioritization skills in a fast‑paced environment.</li><li>
Discretion and ability to manage PHI and sensitive patient information.</li><li>
Experience with Epic Hyperspace, Reporting Workbench, SmartTools, or clinical decision support is a plus.</li></ul>
Work Environment<ul><li>
Standard office environment with hybrid or in‑office options based on organizational policy.</li><li>
Occasional after‑hours or on‑call support during upgrades, go‑lives, and critical clinical workflows.</li></ul></div>

BILLING CLAIMS & ELECTRONIC REMITTANCE ANALYST

FalconPrime Insurance Services

Claims AnalystFalconPrime Insurance Services &ndash; Doha, Qatar Full-timeAbout FalconPrime Insurance ServicesFalconPrime Insurance Services is a Doha-based insurance and risk management company providing comprehensive coverage solutions for individuals and businesses. The company focuses on efficient claims processing, customer satisfaction, and maintaining strong compliance with industry regulations.Job DescriptionFalconPrime Insurance Services is seeking a detail-oriented and analytical Claims Analyst to review, evaluate, and process insurance claims. The role involves ensuring claims are accurate, valid, and compliant with policy terms while supporting timely resolution and customer satisfaction.Claims Analysts play a key role in analyzing claim data, verifying coverage, and ensuring fair and accurate payouts while protecting company interests.Responsibilities<ul><li>Review and analyze insurance claims for accuracy, completeness, and eligibility</li><li>Evaluate policy coverage and determine claim validity</li><li>Investigate claims by gathering information from clients, adjusters, and relevant parties</li><li>Process claims and recommend approval, denial, or adjustment of payments</li><li>Identify discrepancies, errors, or potential fraudulent claims</li><li>Communicate with policyholders regarding claim status and requirements</li><li>Maintain accurate records of claims, documentation, and decisions</li><li>Prepare reports on claims trends, costs, and performance metrics</li><li>Ensure compliance with company policies and regulatory standards</li><li>Collaborate with internal departments such as underwriting, legal, and finance</li></ul>Qualifications<ul><li>Bachelor&rsquo;s degree in Finance, Business Administration, or related field</li><li>Previous experience in insurance claims, finance, or analysis preferred</li><li>Strong analytical and problem-solving skills</li><li>High attention to detail and accuracy</li><li>Good communication and interpersonal skills</li><li>Proficiency in Microsoft Excel and data analysis tools</li><li>Ability to manage multiple claims and deadlines</li></ul>Preferred Qualifications<ul><li>Experience in insurance, healthcare claims, or financial services</li><li>Knowledge of insurance policies, claims processing, and regulations</li><li>Familiarity with claims management systems or ERP software</li><li>Experience in fraud detection or risk analysis</li></ul>Why Join FalconPrime Insurance Services?<ul><li>Work in a structured and professional insurance environment</li><li>Gain hands-on experience in claims analysis and risk management</li><li>Opportunity to develop analytical and decision-making skills</li><li>Exposure to real-world insurance operations and compliance processes</li><li>Career growth opportunities within the insurance sector</li></ul>Work Setup &amp; Benefits<ul><li>Standard office working hours</li><li>Competitive salary (based on experience)</li><li>Health insurance and paid leave</li></ul>Job Types: Full-time, Contract, Permanent Contract length: 12 monthsPay: QAR270.00 per hourExpected hours: 20 per weekWork Location: In person

Claims Analyst

Physicians Revenue Group

Position: QA Analyst (Medical Billing &ndash; Fresher) Location: Lahore (Township) Shift: Night Shift Experience: Fresh GraduatesJob Summary: We are looking for a detail-oriented QA Analyst (Fresher) to join our medical billing team. The ideal candidate will be responsible for reviewing processes, ensuring accuracy, and maintaining quality standards across billing operations.Key Responsibilities:<ul><li>Review medical billing processes for accuracy and compliance</li><li>Perform quality checks on claims, charges, and documentation</li><li>Identify errors and report discrepancies</li><li>Ensure adherence to billing guidelines and company policies</li><li>Maintain records of QA findings and prepare reports</li><li>Coordinate with billing and operations teams for corrections</li><li>Support continuous improvement in quality standards</li></ul>Requirements:<ul><li>Bachelor&rsquo;s degree (Analytics / Accounting / Healthcare preferred)</li><li>Strong attention to detail and analytical skills</li><li>Good communication skills</li><li>Basic knowledge of medical billing (preferred but not mandatory)</li><li>Willingness to work night shifts</li></ul>What We Offer:<ul><li>Training &amp; learning opportunity for fresh graduates</li><li>Growth in the medical billing domain</li><li>Professional work environment</li></ul>Job Type: Full-timeAbility to commute/relocate:<ul><li>Lahore: Reliably commute or planning to relocate before starting work (Preferred)</li></ul>Application Question(s):<ul><li>Would you be available to work from 6:00 PM to 3:00 AM?</li></ul>Education:<ul><li>Bachelor's (Preferred)</li></ul>Work Location: In person

QA Analyst (Medical Billing – Fresher)

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