Claims Analyst

Government Carmel, United States


Description

Job Title: Claims Analyst

 

About Us:

We were founded in 1993 on the simple belief that we can save the world from our competition by solving the insurance industry’s most challenging problems with innovative solutions and extraordinary service.  We have proven it.   

 

As one of the leading international travel insurance and specialty benefit management companies in the world, we service over 800,000 customers each year including international travelers, US government agencies, corporations, foreign governments, and insurance companies.   

 

With a diverse and growing global workforce of the best and brightest talent, Seven Corners is a fast-paced, innovative company with no plans to slow down soon.   

 

Our values drive each decision we make and each action we take.  They are our guide to how we treat each other and our customers.  These beliefs are the heart of the company culture and define what it means to work at Seven Corners.   

 

 

Our Culture

Our culture is what makes us “us” it is the unique vibe you feel when you walk through our doors, the passion we bring to creating innovative solutions and the extra mile we go to put our customers first.  It is a way of feeling and behaving toward each other and our customers.  It is the values we hold to be true.  It is in every decision we make and every action we take.

 

Our Values:

Customers come first

We innovate

We do the right thing

We own the solution

We are precise

 

What you would do here:

Do you have a detective’s mindset? Would you like to investigate medical records, claims documents, and adjudicate medical claims for our Government Programs team? Our Claims Analyst will be working with providers and customers to determine the facts of our customer incidents. They will use their innate analytical skills to determine that all claims are received and processed accurately.

 

 

What you already know and have done:

  • Ability to investigate, evaluate and pursue resolution of medical claims
  • Proven ability to maintain up-to-date knowledge of company benefit products and policy parameters, while analyzing claims within those parameters
  • Ability to work independently to complete research on various issues and respond to inquiries
  • Demonstrated proactive approach in client and provider communication to correct resolution of claims
  • Processed adjustments of duplicate payments, overpayments, and payments made in error
  • Ensured that claims are not fraudulent

 

 

Ideally You Have:

  • Bachelor’s degree preferred
  • High attention to detail and accuracy, with proficient computer and productivity skills
  • Strong verbal and written communication skills
  • Relies on experience and judgment to plan and accomplish goals
  • Experience with standard and commonly used claim concepts, practices and procedures

 

 

 

Seven Corners hires culture fit over technical skills and experience. If you have the aptitude and attitude, we can help you grow your career through training, mentoring, increasing responsibility, and being around other rock star employees.

Learn more at https://www.sevencorners.com/corp/careers

 

 

Seven Corners, Inc. is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, age, status as a protected veteran, among other things, or status as a qualified individual with disability.