Health Claims Administration Analyst
Established Employer in Newtown Square, Delaware County,
Pennsylvania has a need for a full-time Health Claims Administration
Analyst with previous Medical and Dental claims processing
experience. Candidate must be proficient in Microsoft Excel and
Word. Minimum 2 years college preferred. Candidate must possess
strong interpersonal skills and be able to handle difficult phone calls.
The company is a dynamic administrator of multi-employer
benefit plans providing health, and pension benefits to members
throughout the USA. The company offers a competitive salary and
excellent employer-paid benefits, including 401(k) and Pension,
in a pleasant work environment.
Work Hours are 37.50 per week, 7.5 hours per day, Monday through Friday.
Qualified candidates should reply with a cover letter,
resume and salary requirement.
Position Summary: The Health Claims Administrative
Analyst (CAA) reports to the Director, Health Claims Administration.
The CAA is responsible for development, maintenance and generation
of reports utilized by the Claims Department. Additionally, the CAA
is responsible for assisting with numerous duties including
responding to telephone inquiries directed to the Director;
scheduling business meetings; and preparing reports and supporting
documentation for the Health Benefit Board of Trustees meetings, at
the Director’s direction. Responsible for responding to phone
inquiries from Members, Providers, Trustees and Business
Representatives on health claim related issues. The CAA assists the
Claims Department Managers and Unit Leaders by creating forms and
form letters to ensure uniformity within the units for reporting
production quality and quantity of the claim examiners. The CAA is
responsible for monitoring and ordering office supplies and
equipment for the Claims Department.
1) Maintain acceptable and predictable attendance.
2) Must have extensive knowledge of Health Benefit Plan.
3) Must have extensive knowledge of claims processing guidelines.
4) Must have extensive knowledge of Basys claims and eligibility systems.
5) Must be able to communicate effectively with membership,
Trustees, Business Representatives and professional service providers.