Top 17 Claims analyst Jobs in Everett Wa

Excess Loss Analyst
First Choice Health Network Inc —Seattle, WA
- $28.85 - $38.46 an hour
- Full-time
- Google Workspace
- Research
- Mid-level
- Profit sharing
- Wellness program
Quick Apply
Forms and Records Analyst 3 (FRA3) - Region 3/Everett
State of Washington Dept of Children, Youth, and Families —Everett, WA
- $51,600 - $69,348 a year
- Online Application
- Microsoft Excel
- Microsoft Outlook
- Customer service
9d
Associate Benefits Analyst, Employee Benefits
HUB International —Bothell, WA
- $30.76 - $35.89 an hour
- Online Application
- Microsoft Excel
- Writing skills
- Mid-level
- Health savings account
- Disability insurance
Systems Analyst
Delta Dental of Washington —Seattle, WA
- $78,800 - $118,200 a year
- Hybrid work
- Research
- Mid-level
- SQL
- Health insurance
- Dental insurance
3d
Accounts Receivable Analyst
Deloitte —Bellevue, WA
- $70,000 - $90,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Bachelor's degree
3d
Epic Resolute Hospital Billing Associate Analyst
Deloitte —Bellevue, WA
- $50,000 - $60,000 a year
- Full-time
- Computer Science
- Mid-level
- Bachelor's degree
3d
Facets Configuration Analyst
ClinDCast LLC —United States
- Full-time
- Remote
- Residential
- 3 years
- Analysis skills
Quick Apply

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Casualty Field Adjuster
CUSTARD INSURANCE ADJUSTERS —Everett, WA
College bachelor’s degree or equivalent preferred; prior property and casualty claims adjusting experience required; WA adjusters license, valid driver’s…
$65,000 - $75,000 a year
Quick Apply
Commercial Claims Adjuster - Remote
WAHVE —Seattle, WA
_*CURRENT HIGH DEMAND for licensed NY Labor Law, Bodily Injury, Professional Liability, Medical Malpractice or Workers Compensation claim experience. *_.
$35 - $60 an hour
1d

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Claims Analyst - REMOTE
Ryder System —Columbus, OH
Interacts with Law Department on significant cases, and updates field operations personnel on claim status. Investigates and adjusts claims, as well as directs…
$90,000 - $100,000 a year
7d
Claims Finance Analyst
Branch Insurance —Columbus, OH
Assist in developing financial models and tools that improve claims analysis and forecasting. Present complex information clearly to both technical and non-…
$63,000 - $90,000 a year

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Excess Loss Analyst

First Choice Health Network Inc -
Seattle, WA

Quick Apply

Job Details

Full-time
$28.85 - $38.46 an hour

Benefits

Profit sharing
Wellness program
Health savings account
Paid holidays
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Paid time off
Employee assistance program
Vision insurance
401(k) matching
Life insurance

Qualifications

Research
Health insurance knowledge
Healthcare privacy protection
Health information regulatory compliance
Productivity software
Technical Proficiency

Full Job Description

POSITION SUMMARY:

The Excess Loss Analyst manages Stop Loss insurance contracts for our clients. Key responsibilities include tracking monthly reports, submitting required claims documentation, coordinating funding requests, and preparing reports to help with contract renewals.

EXAMPLES OF DUTIES:

Monitor Claims: Review weekly claims activity to identify those eligible for Stop Loss reimbursement based on specific client contracts, using company-provided tools.
Manage Contract Data: Stay current on changes to Stop Loss contracts and update our internal tracking systems to ensure accurate reporting.
Submit Documentation: File timely notices and claims submissions when eligible cases arise, including coordinating with the Medical Management team.
Track Finances: Monitor claim submissions and receipt of Stop Loss funds.
Reporting: Prepare and distribute monthly reports and renewal documentation to Stop Loss carriers.
Coordinate Funding: Work with the Claims Department to request advance funding and release claims once payments are received.
External Collaboration: Partner with outside vendors for subrogation and COBRA-related tasks.
Internal Advocacy: Serve as an internal point of contact for Stop Loss questions or issues, collaborating with other departments as needed.
Guide Additional Tool Enchancements: Work with the team to identify improvements for our internal analytical tools.

QUALIFICATIONS

Core Requirements (Must-Haves)

Experience: 3–5 years of claims handling or related TPA (Third-Party Administrator) experience.
Technical Aptitude: Ability to learn reinsurance practices, interpret complex Stop-Loss contracts, and understand internal claims processing and Medical Management activities.
Data Security: Ability to securely handle Protected Health Information (PHI) and manage encrypted electronic file transfers.
Soft Skills: Strong analytical problem-solving skills, excellent written/verbal communication, and the ability to work both independently and collaboratively within a team.
Software: Proficiency with Microsoft Office and/or Google Workspace products.

Preferred Qualifications (Nice-to-Haves)

Education: Bachelor’s degree preferred.
Background: Proven organizational and research skills with a strong attention to detail; a background in mathematics or auditing is highly preferred.
Industry Knowledge: Familiarity with medical terminology and standard coding formats (including CPT and ICD-9/ICD-10).

PHYSICAL REQUIREMENTS:

Ability to sit for long periods of time.
Ability to see and hear within normal ranges, with or without aids.
Ability to speak clearly.
Hand and finger dexterity within normal ranges.

Access to PHI:

Routine & re-occurring access to all forms of PHI – The duties of the position require regular and unrestricted contact with PHI.

ABOUT FIRST CHOICE HEALTH:

First Choice Health, headquartered in Seattle, WA, is a provider-owned healthcare organization offering employers a forward-thinking alternative to traditional health insurance. We have been serving employers of all sizes and across many industries with exceptional health benefits administration for over 35 years, providing unparalleled access to a growing number of clinically integrated networks (CIN) and a traditional PPO. Alongside our Employee Assistance Program (EAP) addressing mental health and work-life balance, our services collectively support members in every step of their healthcare journeys.

At First Choice Health, we are proud to deliver the personalized, quality service our clients deserve, while reducing costs and keeping their members healthy.

OUR PURPOSE, VALUES & CULTURE:

Uniting providers, employers, and individuals, we deliver sustainable solutions that elevate the health and care of our communities.

CARE TRANSPARENT COLLABORATE RELENTLESS INNOVATE

We strive to uphold the above values and take steps to cultivate our culture through each one. We work as a community, guided by our values and are unified in our mission to make healthcare access easier for everyone from all walks of life. Learn more about how we foster a culture of belonging.

At First Choice Health, we believe that a culture that fosters belonging- one that accept employees for who they are, nurtures creative thinking, and appreciates different perspectives drives our success. By cultivating an environment where every voice is valued, we empower our employees to bring their best selves to work, enable us to serve our clients and communities more effectively. We work as a community, guided by our values and are unified in our mission to make healthcare access easier for everyone from all walks of life.

BENEFITS:
FCH offers comprehensive benefits focused on supporting employee health, financial security, and work-life balance.

Health & Insurance: Medical (HSA and PPO plans) and Vision coverage, Dental plan, employer-provided Life Insurance, and Short- & Long-Term Disability coverage.
Financial & Retirement: Health Savings Account (HSA) with company contributions, Flexible Spending Account (FSA), 401(k) plan with an employer match, and discretionary Profit Sharing.
Time Off & Development: Paid Time Off (PTO) accrued based on tenure, Paid Holidays (including floating holidays and time for community service), and Tuition Reimbursement for continuing education.
Support: Employee Assistance Program (EAP) for confidential professional counseling, and a Wellness program with rewards.

Note: Benefits are subject to change with or without notice.

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claims analyst jobs in everett wa

Excess Loss Analyst

Forms and Records Analyst 3 (FRA3) - Region 3/Everett

Associate Benefits Analyst, Employee Benefits

Systems Analyst

Accounts Receivable Analyst

Epic Resolute Hospital Billing Associate Analyst

Facets Configuration Analyst

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POSITION SUMMARY:

QUALIFICATIONS

Core Requirements (Must-Haves)

Preferred Qualifications (Nice-to-Haves)

PHYSICAL REQUIREMENTS:

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