Assured Benefits Administrators, Inc. (ABA) is a full-service third-party administrator, or TPA, providing flexible and fully integrated healthcare administration and management solutions across the United States since 1985. We are part of an international healthcare group with more than 35 years of industry experience, and we’re fully integrated with our long-term partners, who are recognized as industry leaders.
ABA is a certified “Great Place to Work”, united by a single mission: standing with members through every moment and milestone in their healthcare journey. With decades of industry experience and a team driven by passion, integrity, and excellence, ABA is committed to delivering connected, transparent, and innovative healthcare solutions to employers and members across the United States.
The Claims Funding Analyst is responsible for preparing daily groups’ claims payment registers and invoices, obtaining groups’ authorizations and funding, daily reconciliations of accounts, and collections. This role ensures that claim payments are disbursed in a timely manner while maintaining strong controls and customer service standards.
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Prepare daily claim payment registers and invoices within the claims management system
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Maintain accurate and up-to-date records of all funding activity, ensuring proper documentation and audit readiness
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Monitor funding queues to ensure compliance with service level agreements (SLAs) and turnaround times
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Track and confirm receipt of claims funding from clients and post payments accurately to the claims system
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Generate, review, and manage claims funding aging reports, following up on outstanding balances as needed
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Perform collection activities on aged claims payment registers, including appropriate notification to clients and Account Executives and coordinating resolution efforts
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Investigate and resolve discrepancies, payment variances, and processing exceptions in a timely manner
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Support claims funding reconciliation processes and assisting with financial reporting requirements
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Collaborate cross-functionally with teams including claims, account executives, billing, and treasury
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Manage multiple priorities effectively in a fast-paced, deadline-driven environment while maintaining high accuracy standards
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Communicate clearly and professionally, both verbally and in writing, with internal teams and external partners
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Identify and recommend process improvements to enhance operational efficiency, accuracy, and internal controls
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Participate in ad hoc requests, special projects, and other duties as assigned
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Minimum of 3–5 years of experience in billing, collections, or a related financial operations role; claims funding experience strongly preferred
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Bachelor’s degree in Business Administration, Accounting, or a related discipline preferred (equivalent work experience may be considered)
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Experience with bank and system reconciliations, including the ability to identify, investigate, and resolve discrepancies efficiently
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Demonstrated experience in collections processes, including managing outstanding balances, resolving payment issues, and working with customers to secure timely payments
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Working knowledge of claims management platforms and claims funding workflows preferred
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Proven customer service experience, with the ability to effectively communicate with clients, resolve inquiries, and maintain positive relationships
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Proficiency in Microsoft Office Suite, with intermediate-level Excel skills
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The noise level in the work environment is usually low to moderate.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions. While performing the duties of this position, the employee is regularly required to talk or hear. The employee frequently is required to use hands or fingers, handle or feel objects, tools, or controls. The employee is occasionally required to stand; walk; sit; and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this position include close vision, distance vision, and the ability to adjust focus.
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This job description in no way states or implies that these are the only duties to be performed by the employee(s) incumbent in this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments. All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities. To perform this job successfully, the incumbents will possess the skills, aptitudes, and abilities to perform each duty proficiently. Some requirements may exclude individuals who pose a direct threat or significant risk to the health or safety of themselves or others. The requirements listed in this document are the minimum levels of knowledge, skills, or abilities. This document does not create an employment contract, implied or otherwise.
The Company complies with employment regulations as they apply to the location of service.
