HC and Insurance Operations Analyst

End-to-End Claim Management: Handle every aspect of the claim process, from intake to final decision. Status Updates: Provide frequent updates to claimants through their preferred communication channels. Document Review: Thoroughly review medical documents, claim forms, and policy notes. Communication: Interact with claimants with empathy and attention to detail. Team Collaboration: Work with team members to ensure high-quality service and resolution of issues. Record Keeping: Maintain accurate records and reports throughout the claims process. Data Analysis: Compile and analyze data to identify trends and perform root cause analysis. Designated quiet area for completing calls. 2 years in an analytical role reviewing medical benefits and claims. 2 years of claims adjudication experience, preferably in life, and supplemental products (e.g., critical illnesses such as cancer, stroke, heart attack, kidney disease). 4 years of experience reviewing and assessing medical records. Experience articulating claim requirements clearly and concisely. Education: Minimum high school diploma or GED; college degree preferred.