Confidential
Location: Milford, CT 06460 Document ID: AA041-3L8O Posted on: 2016-01-2601/26/2016 Job Type: RegularJob Schedule:Full-time
Will not pay relocation expenses
Salary: $50000 -- $60000 |
Senior Claims Analyst
Self-Insured Taft Hartley Fund located New Haven County is looking for a Senior Claims Analyst. This position will provide overall support for claims processing for seven Health Services offices.
Responsibilities/Functions:
This Fund currently administers four active and one Retiree Plan of Benefits. Understanding and applying the Summary Plan Description (SPD) is a must for this position.
-Applying medical knowledge and common sense in interpreting the SPD to determine if services are covered under the Plan is part of the day to day work flow.
-Experience in claims processing, medical/dental terminology, medical/dental billing and coding are required for this position.
-Review of medical documents for claim determinationpurposes.
-Analyzing claims data for internal as well as external reporting.
-Monitoring and tracking claims received, processed and claim backlogs.
-Customer service, interpersonal and presentation skills a plus.
-Work closely with Fund Consultants and vendors.
-Provide ongoing updates and training to all processors.
-Opportunity for growth!
Requirements:
10 - 15+ years experience in the Medical/Dental field
High level of self-motivation, productivity and attention to detail, be well organized
Excellent communications skills both verbal and written
Only applicants including salary requirements will be considered
Benefits:
Employer sponsored retirement plan
Employer sponsored health benefits
Paid time off
You can apply below for immidiate consideration!