Top 22 Claims analyst Jobs in Grand Rapids Mi

Medical Claims Analyst
ASR CORPORATION —Grand Rapids, MI
- Overtime
- Writing skills
- HIPAA
- Research
- Health insurance
- Dental insurance
Accounts Receivable Analyst
Deloitte —Grand Rapids, MI
- $70,000 - $90,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Bachelor's degree
1d
Business Analyst - Patient Financial Experience * Days (M-F , 8a-5p) - 40hrs/wk
University of Michigan Health-West —Wyoming, MI
- Full-time
- Microsoft Word
- 5 years
- Writing skills
Merchandise Replenishment Analyst Trainee
Meijer —Grand Rapids, MI
- Full-time
- Hybrid work
- Merchandising
- Office
- Analysis skills
- Store discount
- Paid parental leave
3d
Pharmacy Receivables Analyst
Meijer —Grand Rapids, MI
- Full-time
- Mid-level
- Office
- Finance
- Store discount
- Paid parental leave
14d
Claim/Underwriting Analyst
UFP Industries, Inc. —Grand Rapids, MI
- Full-time
- Microsoft Outlook
- Customer service
- Computer literacy
13d
Provider Operations Associate Analyst
Corewell Health —Grand Rapids, MI
- Full-time
- Microsoft Access
- Mid-level
- High school diploma or GED
6h
Epic Resolute Hospital Billing Associate Analyst
Deloitte —Grand Rapids, MI
- $50,000 - $60,000 a year
- Full-time
- Computer Science
- Mid-level
- Bachelor's degree
1d
Benefit Analyst - Employee Benefits Large Group
Kapnick Insurance Group —Caledonia, MI
- Full-time
- Microsoft Outlook
- 5 years
- Mid-level
- Profit sharing
- Paid holidays
Account Recovery Analyst
Gordon Food Service —Wyoming, MI
- Email
- Mid-level
- Office
- Associate's degree
- Flexible schedule
Employee Benefits Data Analyst
OVD Insurance —Grand Rapids, MI
- Full-time
- Mid-level
- Office
- 3 years
3h
Accounts Receivable Analyst - Credit
Weiss Technik North America, Inc. —Grand Rapids, MI
- Full-time
- Mid-level
- Office
- Finance
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Medical Claims Analyst
ASR CORPORATION —Grand Rapids, MI
Employees are expected to maintain strict confidentiality in accordance with HIPAA, company privacy policies, and all applicable federal and state regulations.
Hospital Billing Operator
Deloitte —Grand Rapids, MI
Bachelor's degree in information technology, business, healthcare, or a related field; or equivalent experience. Ability to provide clear guidance to others.
$70,000 - $90,000 a year

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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
6d
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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claims analyst jobs near grand rapids mi

Medical Claims Analyst

ASR CORPORATION -
Grand Rapids, MI

Apply Now

Job Details

Benefits

Health insurance
Dental insurance
Vision insurance

Qualifications

Customer communication
High school diploma or GED

Full Job Description

Job Title: Medical Claims Analyst

Department: Claims

Work Environment: Remote

Company Overview

ASR Health Benefits is a third-party administrator (TPA) based in Grand Rapids, Michigan, with over 40 years of experience helping organizations manage health and benefits programs. Unlike an insurance carrier, the organization partners directly with employers to design flexible, customized benefits solutions. Backed by Henry Ford Health, one of the nation's leading health systems, ASR offers access to an extensive network of resources and high-quality care. Services span self-funded medical plans, dental, vision, wellness, and a range of health benefits solutions designed to support diverse workforces. The company is focused on making benefits administration simpler, more effective, and more responsive to client needs.

Position Summary:

The Claims Analyst is responsible for the timely and accurate processing and adjudication of routine Medical, Dental, and Vision claims across multiple contracts and plan designs. This role includes applying benefits, fee schedules, and standard claim edits while ensuring compliance with plan provisions, internal policies, HIPAA, and applicable regulatory requirements.

The Claims Analyst will also identify missing or incorrect information, document claim activity thoroughly, and escalate complex claims (including subrogation, Workers’ Compensation, and unusual coverage situations) according to established guidelines.

This role requires strong attention to detail, consistent productivity, and effective communication with members, clients, and providers in a professional and customer-focused manner.

Key Responsibilities:

Process and adjudicate routine Medical, Dental, and Vision claims accurately and within required timelines.
Apply benefits, fee schedules, plan provisions, and standard edits correctly.
Review and interpret benefit plans, contracts, and coverage provisions to support accurate payment decisions.
Identify missing, incomplete, or incorrect information and initiate appropriate follow-up.
Maintain accurate documentation, claim notes, and system records.
Escalate complex claims, exceptions, and non-routine scenarios appropriately.
Support investigations to resolve coverage questions and determine claim eligibility when needed.
Assist with research and routing of subrogation and Workers’ Compensation claims based on established processes.
Communicate effectively (verbally and in writing) with members, clients, and providers to resolve inquiries.
Maintain confidentiality of member and company information in compliance with HIPAA and internal policies.
Meet or exceed established quality, productivity, and turnaround expectations.
Collaborate with team members and other departments to support operational goals.
Other duties as assigned.

Preferred Skills and Qualifications:

Basic medical terminology and insurance concepts
Strong computer and data entry skills
High attention to detail and accuracy
Analytical and problem-solving skills
Ability to follow documented procedures and guidelines
Strong time management and ability to prioritize workload
Effective written and verbal communication skills
Customer service orientation with internal and external stakeholders
Ability to learn quickly and adapt to process or policy changes
Working knowledge of coordination of benefits (COB) preferred
Commitment to confidentiality and compliance
Agreement that your likeness (e.g., name, image, voice, and/or video) may be used in internal and external materials with customers or prospective customers.

Performance Metrics / Expectations:

Accuracy:

97–98% based on quality audits
Productivity: Meets established daily/weekly claim volume standards
Production Volume (Routine Claims):
- Estimated: 25–40 claims per hour
- Daily average: 200–320 claims per day
Turnaround Time: Processes claims within required SLAs
Quality Compliance: Minimal rework, errors, or audit findings
Attendance & Reliability: Meets schedule adherence expectations
Training Progression: Demonstrates consistent improvement throughout onboarding

Production expectations may vary based on claim complexity, system functionality, plan requirements, training status, and business needs.

Preferred Experience:

High school diploma or equivalent required
0–1 year of medical claims or related experience preferred
Additional education or certifications are a plus

Work Environment:

Remote work structure (work-from-home), with occasional in-office work required based on business needs.
Fast-paced, deadline-driven environment requiring accuracy, efficiency, and consistent productivity.
Must be able and willing to work overtime as needed based on department demands.

Essential Functions:

This role may require extended sitting, regular computer and office equipment use, clear communication, and occasional lifting of up to 10–15 pounds. Reasonable accommodations for individuals with disabilities will be provided as needed.

Confidentiality: This position involves access to protected health information (PHI) and other sensitive data. Employees are expected to maintain strict confidentiality in accordance with HIPAA, company privacy policies, and all applicable federal and state regulations.

Apply Now

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claims analyst jobs in grand rapids mi

Medical Claims Analyst

Accounts Receivable Analyst

Business Analyst - Patient Financial Experience * Days (M-F , 8a-5p) - 40hrs/wk

Merchandise Replenishment Analyst Trainee

Pharmacy Receivables Analyst

Claim/Underwriting Analyst

Provider Operations Associate Analyst

Epic Resolute Hospital Billing Associate Analyst

Benefit Analyst - Employee Benefits Large Group

Account Recovery Analyst

Employee Benefits Data Analyst

Accounts Receivable Analyst - Credit

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