insurance claims analyst

Sprouts Farmers Market

<div>Overview:
<div>
We are seeking a highly motivated Workers&rsquo; Compensation Analyst II to join the Claims Team in a dynamic and growing company. This role supports the management of workers&rsquo; compensation claims across the full lifecycle&mdash;from initial report of injury through resolution, including coordination on litigated matters when applicable.</div><div></div><div><br>
The Analyst II serves as a key liaison between injured Team Members, internal stakeholders, and third‑party administrators (TPAs), ensuring claims are handled efficiently, compliantly, and with a focus on timely resolution, cost containment, and positive Team Member outcomes. The role requires multi‑jurisdictional awareness and the ability to leverage data and tools to enhance claim performance.</div><div></div><div><br>
Position reports into our Store Support Office in Phoenix, AZ. Hybrid schedule, in office Tuesday-Thursday. #LI-MS1</div>
Essential Functions:
<ul><li>Support the end‑to‑end lifecycle of workers&rsquo; compensation claims, including investigation support, compensability analysis, medical and indemnity monitoring, coordination on litigated claims, and claim closure</li><li>
Partner closely with TPAs and adjusters to support claim strategy, timely handling, appropriate reserving, and effective resolution; escalate issues as needed</li><li>
Review claim activity and recommend claim closures, reserve changes, and settlements in accordance with delegated authority and escalation guidelines</li><li>
Serve as a primary point of contact for injured Team Members, providing clear communication regarding benefits, recovery expectations, and stay-at‑work processes</li><li>
Act as a liaison across internal and external stakeholders including Operations, HR, Safety, Legal, Risk Management, Leave of Absence, TPAs, insurance brokers, medical providers, and outside counsel</li><li>
Coordinate with legal counsel on litigated claims by tracking status, summarizing exposure, and supporting documentation and reporting needs</li><li>
Maintain accurate records and reporting to support compliance with applicable state and federal regulations across multiple jurisdictions</li><li>
Analyze claim data to identify trends, risks, and opportunities to improve outcomes, duration, and cost</li><li>
Prepare regular reporting and summaries on claim performance, trends, and observations</li><li>
Support stay‑at‑work efforts by coordinating transitional duty options with internal partners</li><li>
Participate in audits to support quality claim handling and adherence to internal standards and best practices</li><li>
Contribute to continuous improvement of claims processes, procedures, and program effectiveness</li><li>
Utilize claims management systems and reporting tools; apply automation or advanced analytics where appropriate to improve efficiency and decision‑making</li><li>
Perform other duties as assigned</li></ul>
Knowledge, Skills, Abilities and Physical Requirements:
<ul><li>Bachelor&rsquo;s degree or equivalent work experience</li><li>
2&ndash;4 years of experience in workers&rsquo; compensation, claims analysis, or a related field</li><li>
Working knowledge of workers&rsquo; compensation laws and practices across multiple jurisdictions</li><li>
Strong analytical skills with the ability to interpret data and support actionable recommendations</li><li>
Experience working with TPAs and collaborating to influence timely and quality claim handling</li><li>
Proficiency in claims management systems and reporting tools</li><li>
Strong written and verbal communication skills</li><li>
Detail‑oriented with the ability to manage competing priorities</li><li>
Demonstrates empathy, sound judgment, and the ability to build effective working relationships across all levels</li><li>
Professional certification (e.g., CWCP) a plus</li></ul>
Benefits:
<ul><li>Employee Assistance Program (EAP)</li><li>
401(K) Retirement savings plan with a generous company match</li><li>
Company paid life insurance</li><li>
Contests and appreciation events throughout the year full of prizes, food and fun!</li><li>
Eligibility requirements may apply for the following benefits:<ul><li>
Bonus based on company and/or individual performance</li><li>
Affordable benefit coverage, including medical, dental and vision</li><li>
Health Savings Account with company match</li><li>
Pre-tax Flexible Spending Accounts for healthcare and dependent care</li><li>
Company paid short-term disability coverage</li><li>
Paid parental leave for both mothers and fathers</li><li>
Paid holidays</li></ul></li><li><b>
Get Paid Every Day!</b></li></ul><div>
Sprouts Farmers Market offers DailyPay - if you&rsquo;re hired as an eligible employee, you&rsquo;ll be able to <b>transfer the money you&rsquo;ve already earned at no extra cost, and get it the next business day, for free</b>. We offer DailyPay so you don&rsquo;t have to wait for payday to access the money you&rsquo;ve already worked for. With DailyPay, you can see how much you&rsquo;ve made every day and you can transfer your money any time before payday.</div><div></div><div><br>
 You can learn more by visiting <b>https://www.dailypay.com/partners/sprouts-farmers-market/</b><b>.</b></div>
Why Sprouts:
<div><b>
Grow with us!</b></div><div>
If you have a passion for inspiring people and a flair for fresh food, consider applying for a job at Sprouts! With a focus on customer service, our neighborhood grocery stores offer high-quality, farm fresh produce, natural meats, plenty of scoop-your-own bulk goods and much more in a fun, friendly, old-fashioned farmer&rsquo;s market setting. Come grow your career in healthy living with a fast-paced, rapidly growing company and teams that pride themselves on empowering others along their journey.</div><div></div><div><br>
The above statements are intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties, responsibilities, and requirements. Sprouts&rsquo; management reserves the right to amend and change duties, responsibilities, and requirements to meet business and organizational needs as necessary.</div><div></div><div><br>
Sprouts will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the Fair Chance in Hiring Ordinance.</div><div></div><div><br>
California Residents: We collect information in accordance with California law, please see here for more information.</div></div><div></div>

Claims Analyst II

GUARANTEE TRUST LIFE INS

<div><div><div><b>Guarantee Trust Life Insurance Company (GTL)</b> is currently seeking a <b>Medical Claims Adjuster II </b>to join our team!</div></div><p>
</p><div><div>Since 1936, GTL has offered cutting-edge insurance solutions and personalized service for our policyholders and distributors, while supporting personal growth and civic involvement from our employees. We&rsquo;re seeking candidates who are looking for meaningful work, who want to invest in their growth, and contribute to a company built on timeless virtues and best business practices.</div></div><p>
</p><div><div>This position is required to work on-site in our Chicagoland (Glenview, IL) office most days. Everyone receives 3 flexible remote days per month and 6 additional Friday PTO days each year! And, we offer half-day Fridays &ndash; every Friday!</div></div><p>
</p><div><div><b>Summary of Responsibilities:</b></div></div><div><div>
The primary responsibilities are to adjudicate claims based on variable contract provisions and benefits according to state guidelines. The person in this position must understand policy contract language, insurance applications, medical terminology, and medical aspects.</div></div><p><b>
What you should bring to the table:</b></p><ul><li>
2-3 years of medical health claim adjusting experience, preferably hospital indemnity claims</li><li>
Experience reading and referencing policy language for benefit administration</li><li>
Experience in preexisting or investigations a plus</li><li>
Basic knowledge of Microsoft Office Word and Excel</li><li>
Strong data entry skills</li><li>
Excellent verbal and written communication</li><li>
Ability to analyze risk</li><li>
Must have good judgment and strong prioritizing and organizational skills</li><li>
Pay range for this role is $24-29 per hour, commensurate with experience</li></ul><p>
</p><p>The pay range provided is not a guarantee of compensation. The range reflects potential pay for the job grade for this role at the time of this posting. Compensation will depend on several factors such as specific competencies, relevant education and experience, qualifications, and industry certifications. Compensation ranges are subject to change and may be higher or lower than the range described above.
</p><p></p><p>Provided eligibility requirements are met employees will be eligible for the following benefits:</p><ul><li>
Medical</li><li>
Health Savings Account (including employer contribution)</li><li>
Dental</li><li>
Vision</li><li>
Basic Life Insurance (full premium paid by employer)</li><li>
Voluntary Employee, Spouse and Child Life Insurance</li><li>
Short-Term and Long-Term Disability</li><li>
Paid Holidays</li><li>
Paid time off including vacation, personal days, and sick time<ul><li>
The amount of time off varies based on tenure and hours worked</li></ul></li><li>
401(k) and Profit-Sharing retirement plan<ul><li>
The company matches contributions up to 2% provided the employee contributes a minimum of 3%</li><li>
The company may make a discretionary contribution to the Profit-Sharing plan</li></ul></li></ul><p>
</p><p>We invite you to learn more about Guarantee Trust Life by visiting our website: www.gtlic.com</p><p>
</p><p><b>Stay connected with GTL News Via:</b></p><p>
</p><p><b>Facebook | Twitter | LinkedIn:</b></p><p><b>
</b><b>https://twitter.com/GTLNews</b></p><p><b>
http://www.linkedin.com/company/guaranteetrustlifeinsurance
</b></p><p><b>https://www.facebook.com/</b></p><p>
</p><p>EOE m/f/d/v</p></div><p></p>

Medical Claims Adjuster II

The Hanover Insurance Group

For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most. We live our values every day, demonstrating we CARE through our values, Sustainability initiatives and inclusive corporate culture.
<br><br>
Our Claims team is currently seeking a Technical Claims Consultant, with expertise in Commercial General Liability (CGL).
<br>This is a full-time, exempt role with a hybrid work schedule (two days in the office) at one of our Hanover offices:
<br><br>
<ul>
<li>Worcester, MA</li>
<li>Rocky Hill, CT</li>
<li>Alpharetta, GA</li>
<li>Phoenix, AZ</li>
<li>Howell, MI</li>
<li>Richmond, VA</li>
<li>Itasca, IL</li>
<li>Syracuse, NY</li>
</ul>
<b>POSITION OVERVIEW:</b><br>
The Technical Consultant, Casualty Claims, manages moderate to complex and high-value casualty and litigated claims with minimal supervision. This role requires advanced investigative and negotiation skills to resolve disputes and handle escalated situations, while collaborating with legal teams and subject matter experts as needed. The consultant analyzes complex data, provides expert opinions to support claim resolution, and may represent the company in litigation forums. Operating with a high degree of autonomy and professionalism, the position demands strategic thinking, deep technical expertise, and strict adherence to regulatory and company standards in navigating sensitive, high-impact claim scenarios.
<br><br>
<b>IN THIS ROLE, YOU WILL:</b><br>
<ul>
<li>Independently investigate moderate to complex and sensitive claims, ensuring thorough analysis and resolution.</li>
<li>Collaborate with internal and external experts to evaluate claims and determine validity and value.</li>
<li>Identify opportunities to transfer risk and pursue subrogation. Proactively resolve disputes, deescalate sensitive situations, and ensure optimal claim outcomes through strategic negotiation and litigation management.</li>
<li>Assess and transfer risk where appropriate; manage suspicious claims and refer to SIU as needed.</li>
<li>Serve as a subject matter expert and contribute to departmental projects and initiatives.</li>
<li>Draft coverage letters, including complex forms and endorsements; interpret commercial coverages and legal principles.</li>
<li>Set reserves and authorize payments within high authority limits; manage litigation budgets and counsel.</li>
<li>Lead quality and efficiency initiatives for complex claims workflows.</li>
<li>Use technology and data tools to identify trends, correct inconsistencies, and optimize outcomes.</li>
<li>Negotiate high-value and contested claims using advanced strategies.</li>
<li>Ensure compliance with jurisdictional requirements; mentor others on regulatory standards.</li>
<li>Maintain accurate records and prepare detailed reports; protect PII and educate peers on best practices.</li>
<li>Lead cross-functional meetings and drive consensus on claim resolutions.</li>
<li>Communicate complex information clearly to diverse stakeholders; manage sensitive customer interactions.</li>
<li>Provide technical guidance and mentorship to less experienced adjusters.</li>
<li>Represent the company in litigation forums including trials, mediations, and arbitrations.</li>
<li>Support training development and evaluate program effectiveness.</li>
<li>Influence product development by identifying coverage gaps and recommending updates.</li>
<li>Attend industry events and continuing education seminars to stay current with best practices, legal developments, and emerging trends.</li>
<li>Must possess or obtain and maintain appropriate state adjuster licenses and continuing education credits</li>
</ul>
<b>WHAT YOU NEED TO APPLY:</b><br>
<ul>
<li>Bachelor’s degree preferred or equivalent experience; typically 5+ years of industry experience; industry designation relevant to the role preferred</li>
<li>Recognized authority in negotiating highly complex claims; shapes and implements best practices</li>
<li>Skilled in negotiating complex claims and developing strategies to influence outcomes. Demonstrates sound judgment and decision-making on high-exposure cases, including litigation and compliance matters</li>
<li>Communicates clearly and effectively in verbal and written formats; handles sensitive and complex issues with professionalism. Selects appropriate communication channels and consistently demonstrates empathy</li>
<li>Maintains comprehensive and organized claim records and prepares detailed reports summarizing findings and recommendations</li>
<li>Highly organized with the ability to manage complex workflows and participate in project work. Demonstrates strong time management and desk management skills, and mentors others in these areas</li>
<li>Expert-level insurance knowledge; deep understanding of legal and regulatory frameworks</li>
<li>Makes informed decisions independently; analyzes risks and understands financial impacts</li>
<li>Exercises sound judgment and strategic insight in evaluating results and shaping policy</li>
<li>Develops investigative techniques and protocols; expert in coverage analysis and liability assessment</li>
<li>Designs empathetic customer service strategies; recognized for exceptional service</li>
</ul>
<b>Core Capabilities:</b><br>
<ul>
<li>Analytical Reasoning: The ability to identify problems, understand your impact, gather input and data, and develop an effective solution.</li>
<li>Customer Centricity: Makes customers/clients and their needs a primary focus of one’s actions; shows interest in and understanding of the needs and expectations of internal and external customers; gains customer trust and respect; meets or exceeds customer expectations.</li>
<li>Digital Fluency: Effectively uses digital tools and technology appropriately to find, evaluate, create, and communicate information understands how to navigate digital platforms, use software applications, and leverage technology for productivity and communication purposes.</li>
<li>Persuasion and Influence: Uses appropriate interpersonal skills and techniques to gain acceptance for ideas or solutions; uses influencing strategies to gain genuine agreements; seeks to persuade rather than force solutions or impose decisions or regulations.</li>
<li>Professional Insurance Acumen: Demonstrates a deepening understanding of the insurance industry and the ability to apply specialized technical skills to address complex challenges, adapt to industry trends, and drive value for the organization.</li>
<li>Planning and Execution: Plans, prioritizes and manages resources and time effectively to achieve specific goals or deadlines.</li>
</ul>
<b>CAREER DEVELOPMENT:</b><br>
It’s not just a job, it’s a career, and we are here to support you every step of the way. We want you to be successful and fulfilled. Through on-the-job experiences, personalized coaching and our robust learning and development programs, we encourage you – at every level – to grow and develop.
<br><br>
<b>BENEFITS:</b><br>
We offer comprehensive benefits to help you be healthy, build financial security, and balance work and home life. At The Hanover, you’ll enjoy what you do and have the support you need to succeed.
<br><br>
<b>Benefits include:</b><br>
<ul>
<li>Medical, dental, vision, life, and disability insurance</li>
<li>401K with a company match</li>
<li>Tuition reimbursement</li>
<li>PTO</li>
<li>Company paid holidays</li>
<li>Flexible work arrangements</li>
<li>Cultural Awareness Day in support of IDE</li>
<li>On-site medical/wellness center (Worcester only)</li>
<li>Click here for the full list of Benefits</li>
</ul>
<b>EEO statement:</b><br>
The Hanover values diversity in the workplace and among our customers. The company provides equal opportunity for employment and promotion to all qualified employees and applicants on the basis of experience, training, education, and ability to do the available work without regard to race, religion, color, age, sex/gender, sexual orientation, national origin, gender identity, disability, marital status, veteran status, genetic information, ancestry or any other status protected by law.
<br><br>
Furthermore, The Hanover Insurance Group is committed to providing an equal opportunity workplace that is free of discrimination and harassment based on national origin, race, color, religion, gender, ancestry, age, sexual orientation, gender identity, disability, marital status, veteran status, genetic information or any other status protected by law.”
<br><br>
As an equal opportunity employer, Hanover does not discriminate against qualified individuals with disabilities. Individuals with disabilities who wish to request a reasonable accommodation to participate in the job application or interview process, or to perform essential job functions, should contact us at: HRServices@hanover.com and include the link of the job posting in which you are interested.
<br><br>
<b>Privacy Policy:</b><br>
To view our privacy policy and online privacy statement, click here.
<br><br>
<b>Applicants who are California residents:</b> To see the types of information we may collect from applicants and employees and how we use it, please click here.
<br><br>
<b>Compensation:</b><br>
The target hiring range for this role may vary based on geographic location and other factors, including merit or performance, demonstrated proficiency, skills for the role, education, travel requirements, and experience. Additional compensation may include an annual bonus (which could take the form of a general bonus, sales incentive, or short-term incentive), long-term incentive or spot recognition awards. The posted range reflects our ability to hire at different position titles and levels depending on background and experience.

Technical Consultant Casualty Claims- CGL

Sherloq Solutions

<div><p><b>About SHERLOQ Solutions
</b></p><p>Established in 1916, SHERLOQ began as a member-owned cooperative in Tampa, Florida. The founding mission was to facilitate the sharing of credit information, promote the equitable principles in trade and give back to the community. Over 100 years later, SHERLOQ continues as a vibrant company serving hospitals, healthcare systems, physician practices and utilities nationwide.</p><p><br>
</p><p><b>Position Summary</b></p><p>
This position will require the employee to effectively communicate between healthcare providers and health insurance payers to expedite claim resolution.</p><p></p><p><b><br>
Essential Duties and Responsibilities</b></p><ul><li>
Resolve healthcare claims through verbal or online inquiries to health insurance payers.</li><li>
Effectively navigate and utilize healthcare provider systems, billing platforms, and payer websites.
</li><li>Verify patient, insurance, billing and claim submission information for accuracy.</li><li>
Eligibility inquiries and coordination of benefits research including reaching out to the patient when necessary.</li><li>
Analyze payer denials and appropriately respond to secure claim reimbursement.</li><li>
Provide information to the Billing &amp; Appeals Specialists on claims that require written appeals.</li><li>
Track trends in payer underpayments, coding issues and denials and report to leadership for escalation.</li><li>
Recognize basic coding denials and request appropriate action for correction or dispute.</li><li>
Check insurance payments for accuracy and compliance with contract discount.</li><li>
Research missing payments and secure documents needed for posting.</li><li>
Demonstrated ability to remain patient, professional &amp; effective in high pressure and high-volume environments.</li><li>
Meet or exceed daily, weekly and monthly performance goals, deadlines and objectives.</li><li>
Perform other related duties as assigned.</li></ul><p><b>
Abilities</b></p><ul><li>
Excellent verbal and written communication skills.</li><li>
Excellent interpersonal and negotiation skills.</li><li>
Organized with attention to detail.</li><li>
Ability to read and interpret insurance explanation of benefits.</li><li>
Ability to problem solve and think critically to identify trends.</li><li>
Demonstrated proficiency in Microsoft 365 (Teams, Outlook, OneDrive, SharePoint) within a cloud-based, collaborative environment.</li></ul><p><b>
Experience and Education</b></p><ul><li>
High school graduate or equivalent required.</li><li>
Three (3) years of healthcare industry experience required.</li><li>
One (1) year of healthcare claims billing, insurance collections, coding, and/or denials management required.</li><li>
Specific healthcare payer experience may be required (e.g., Medicare or state-specific payers).</li><li>
Obtain HFMA CRCR or AAHAM CRCS accreditation within two years of employment and maintain certification in good standing.</li></ul><p>
Pay Range: $18+ per hour</p><p>
Schedule: Monday- Friday 8am-5pm</p><p><b>
We value our employees and offer a comprehensive benefits package including medical insurance, 401(k), paid time off, paid holidays, tuition reimbursement, and additional supplemental benefits.</b><br>
<br>
SHERLOQ is an Equal Opportunity Employer and considers all qualified applicants without regard to race, color, religion, sex, national origin, disability, or veteran status.</p><p>
If you feel this is the right opportunity for you, we encourage you to apply. We look forward to meeting you!</p></div>

Specialist, Insurance Revenue Cycle

Smart IT Frame LLC

<div>
 <p>
  <strong>
   Role: Data Analyst &ndash; Insurance (Onsite)
  </strong>
 </p>
 <p>
  <strong>
   Location: Raleigh, NC | Onsite
  </strong>
 </p>
 <p>
  <br/>
 </p>
 <p>
  Looking for a client-facing Data Analyst with strong Insurance domain knowledge (Policy, Claims, Billing, Risk). Hands-on experience in SQL, Excel, Power BI/Tableau, and data validation.
 </p>
 <p>
  <br/>
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   Skills:
  </strong>
 </p>
 <p>
  Insurance Data &amp; Analytics
 </p>
 <p>
  Client Interaction &amp; Reporting
 </p>
 <p>
  SQL, Excel, Power BI/Tableau
 </p>
 <p>
  Data Validation &amp; Metrics Tracking
 </p>
 <p>
  Databricks
 </p>
</div>


Data Analyst – Insurance

Deloitte

<div>
 Epic Hospital Billing Analyst
 <br/>
 <br/>
 <strong>
  Position Summary
  <br/>
  <br/>
 </strong>
 Join Deloitte's AI &amp; Engineering practice to support hospital billing operations in a role focused on claim accuracy, timely reimbursement, and revenue cycle performance. As an Epic Hospital Billing Analyst , you will help review and submit hospital claims, resolve billing issues, and work across teams to reduce avoidable denials. This is a primarily remote role supporting an enterprise Epic implementation, with minimal travel and scheduled onsite time as needed.
 <br/>
 <br/>
 Recruiting for this role ends on 08/01/2026.
 <br/>
 <br/>
 <strong>
  Work you'll do
  <br/>
  <br/>
 </strong>
 As an Epic Hospital Billing Analyst e on the AI &amp; Engineering team, you will be responsible for supporting hospital billing activities that improve claim accuracy, reduce denials, and help clients optimize revenue cycle performance.
 <br/>
 <br/>
 <ul>
  <li>
   Review patient accounts, charge details, coding inputs, and supporting documentation for billing accuracy and completeness
  </li>
  <li>
   Prepare and submit hospital claims to commercial, government, and other third-party payers in accordance with payer requirements
  </li>
  <li>
   Validate claim data for demographics, insurance coverage, authorizations, provider information, modifiers, and coding-related elements; identify and correct claim edits, rejections, and billing errors before submission or rebilling
  </li>
  <li>
   Work with coding, registration, authorization, clinical, and accounts receivable teams to resolve billing issues, prevent avoidable denials, and submit supporting documentation required by payer guidelines
  </li>
  <li>
   Adhere to defined standard operating procedures and workflows while working in Epic Resolute Hospital Billing, claims clearinghouse systems, payer portals, and related tools; monitor work queues and reports, support complex claim resolution, and meet productivity and quality standards
   <br/>
   <br/>
  </li>
 </ul>
 A successful candidate would possess these skills:
 <br/>
 <br/>
 <ul>
  <li>
   Ability to work independently and collaborate as part of a team
  </li>
  <li>
   Effective written and verbal communication skills
  </li>
  <li>
   Meticulous attention to detail and quality of work product
  </li>
  <li>
   Ability to build and sustain professional relationships
  </li>
  <li>
   Ability to lead projects or workstreams
  </li>
  <li>
   Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment
  </li>
  <li>
   Strong interpersonal skills and professional demeanor
  </li>
  <li>
   Ability to meet deadlines
  </li>
  <li>
   Ability to provide clear guidance to others
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  The team
  <br/>
  <br/>
 </strong>
 AI &amp; Engineering leverages cutting-edge engineering capabilities to build, deploy, and operate integrated/verticalized sector solutions in software, data, AI, network, and hybrid cloud infrastructure. These solutions are powered by engineering for business advantage, transforming mission-critical operations. We enable clients to stay ahead with the latest advancements by transforming engineering teams and modernizing technology &amp; data platforms. Our delivery models are tailored to meet each client's unique requirements.
 <br/>
 <br/>
 Our Industry Solutions offering provides verticalized solutions that transform how clients sell products, deliver services, generate growth, and execute mission-critical operations. We deliver integrated business expertise with scalable, repeatable technology solutions specifically engineered for each sector.
 <br/>
 <br/>
 <strong>
  Qualifications
  <br/>
  <br/>
 </strong>
 Required:
 <br/>
 <br/>
 <ul>
  <li>
   Bachelor's degree in information technology, business, healthcare, or a related field; or equivalent experience
  </li>
  <li>
   2+ years of experience in hospital billing operations
  </li>
  <li>
   Experience using Epic Resolute Hospital Billing
  </li>
  <li>
   Experience working in claims clearinghouse systems
  </li>
  <li>
   Experience using Epic Analytics and Reporting applications
  </li>
  <li>
   Ability to travel 10%, on average, based on the work you do and the clients and industries/sectors you serve.
  </li>
  <li>
   Limited immigration sponsorship may be available.
   <br/>
   <br/>
  </li>
 </ul>
 Preferred:
 <br/>
 <br/>
 <ul>
  <li>
   Experience using Microsoft Word, Excel, and PowerPoint
  </li>
  <li>
   Experience supporting clinical or healthcare business operations
  </li>
  <li>
   Experience managing multiple projects or workstreams
  </li>
  <li>
   Experience preparing and delivering technical demonstrations
  </li>
  <li>
   Experience analyzing billing workflows, claim issues, or operational data
   <br/>
   <br/>
  </li>
 </ul>
 For individuals assigned and/or hired to work in a remote role, Deloitte is required by law to include a reasonable estimate of the compensation range for this role. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $70,000 to $90,000.
 <br/>
 <br/>
 You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.
</div>


Hospital Billing Analyst

City of Columbus, OH

<div><div><div><h2 class="jobSectionHeader"><b>Definition</b></h2></div>
<p></p><div><div>Under direction, is responsible for serving as a subject matter specialist for the City&rsquo;s employee benefits programs; performs related duties as required.<br>
<br>
<b>This is a temporary position and will be limited to 480 hours</b><b>.</b></div><div><b><br>
Preferred Qualifications</b></div><ul><li><div>
Knowledge of medical, pharmacy, dental, vision, life insurance, and disability programs.</div></li><li><div>
Knowledge of applicable laws and regulations including COBRA, HIPAA, ACA, Section 125, and ERISA.</div></li><li><div>
Advanced proficiency in MS Office and Excel.</div></li><li><div>
Advanced proficiency in data analysis and reporting.</div></li><li><div>
Ability to explain complex benefit concepts to employees and stakeholders.</div></li><li><div>
Strong organizational skills with the ability to manage multiple projects and deadlines simultaneously.</div></li></ul></div><p></p>
<div><h2 class="jobSectionHeader"><b>Examples of Work</b></h2></div>
<p></p><div><p>Monitor the Employee Benefits and Wellness inbox and route inquiries to appropriate analyst for resolution; transcribe voice messages and return phone calls, as needed; monitor life events to ensure enrollments are submitted correctly.</p><p>
Retrieve unemployment claim notifications from portal and forward notifications to appropriate department; monitor responses from departments and update information in portal, as needed.</p><p>
Conduct dependent verification reporting and track verification documents; assist with short term disability reporting validation.</p><p>
Assist with system testing for vendor implementation, plan design changes, and open enrollment; may assist with special projects; may perform other duties, as assigned.</p></div><p></p>
<div><h2 class="jobSectionHeader"><b>Minimum Qualifications</b></h2></div>
<p></p><div><div>Possession of a bachelor's degree AND two (2) years of experience in the administration of employee benefits, insurance risk management programs, worker&rsquo;s compensation, claims processing and dispute resolution, or contract interpretation and compliance.</div><div></div><div><br>
OR</div><div></div><div><br>
Possession of an associate&rsquo;s degree and four (4) years of experience in the administration of employee benefits, insurance risk management programs, worker&rsquo;s compensation, claims processing and dispute resolution, or contract interpretation and compliance.</div></div><p></p>
<div><h2 class="jobSectionHeader"><b>Test/Job Contact Information</b></h2></div>
<p></p><div><div>Recruitment #: 26-0825-V1</div><div>
Employment Type: Part-Time Temporary (480) Limitation</div><div></div><div><br>
Should you have questions regarding this vacancy, please contact:</div><div></div><div><br>
Tammy Bethea</div><div>
Department of Human Resources</div><div>
77 North Front Street</div><div>
Columbus, Ohio 43215</div><div>
P: (614) 645-0792</div><div>
E: tmbethea@columbus.gov</div><div></div><div><b><i><br>
The City of Columbus is an Equal Opportunity Employer</i></b></div></div></div></div><p></p>

Employee Benefits Analyst II (TEMPORARY) (Vacancies)

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