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Claims Analyst

Southwest Service Administrators

Review, analyze, and process medical and/or dental claims from first submission through final payment.

Responsible for maintaining complete accuracy, production, and quality standards while applying plan design knowledge and ensuring claims are processed correctly.

Requirements & Qualifications

Minimum High School Diploma or GED.

Three years of recent experience processing medical claims.

Extensive knowledge of medical terminology, CPT codes, ICD-9/10, and medical claim forms.

Ability to read, analyze, and assess medical documentation and draw valid conclusions.

Minimum 40 WPM and 3,000 KPH proficiency.

Solid knowledge of MS Excel and MS Word, including pivot tables and lookup functions.

Strong oral and written communication skills with exceptional attention to detail.

Ability to organize, set priorities, work independently, and complete multiple projects within established deadlines.

Benefits & Perks

Medical, dental, and vision coverage.

Short-term disability.

Low weekly premium coverage options.

Company-paid supplemental dental coverage of $1,000 per year for employee.

Company-paid long-term disability and life/AD&D coverage.

401(k) plan with company match up to 5%.

Company-paid additional pension plan entirely funded by the company.

Exceptional time off package including Paid Personal Leave and vacation with annual buy-back options.

Annual automatic pay increases.

Location

N/A

Employment Type

Full-time

Experience Level

Intermediate Level

Remote work allowed

Yes

Posted

1 month ago

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