Top 15 Claims analyst Jobs in Stockton, Ca

Benefits and Leave Analyst/Confidential
San Joaquin Delta College —Stockton, CA
- $7,204 - $8,858 a month
- Full-time
- Microsoft Word
- Microsoft Excel
- Computer literacy
- Disability insurance
- Health insurance
9d
Javelina Support & Application Modernization Analyst
WM MICHAEL STEMLER INC —Stockton, CA
- $115,000 - $125,000 a year
- Full-time
- Office
- SQL
- Analysis skills
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2h
Senior Facets Configuration Analyst
Vytwo —United States
- Full-time
- Remote
- Residential
- Senior level
- 10 years
Quick Apply
Facets Configuration Analyst
Vytwo —United States
- Full-time
- Remote
- Residential
- 3 years
- Analysis skills
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Facets Configuration Analyst
ClinDCast LLC —United States
- Full-time
- Remote
- Residential
- 3 years
- Analysis skills
Quick Apply
Technical Analyst - Facets platform
Vytwo —United States
- Full-time
- Remote
- Mid-level
- Residential
- 3 years
Quick Apply
Epic Tapestry UM Analyst
Vytwo —United States
- $50 an hour
- Full-time
- Remote
- 5 years
- HIPAA
- Mid-level
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RCM Analyst/Developer (Cerner)
ClinDCast LLC —United States
- Full-time
- Remote
- Writing skills
- Mid-level
- SQL
Quick Apply

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Benefits and Leave Analyst/Confidential

San Joaquin Delta College -
Stockton, CA

Apply Now

Job Details

Full-time
$7,204 - $8,858 a month
9 days ago

Benefits

Disability insurance
Health insurance
Dental insurance
Flexible spending account
Paid time off
Vision insurance
Life insurance
Retirement plan

Qualifications

Microsoft Word
Contract documentation review
Confidential information handling
Microsoft Excel
FMLA
State-specific regulations in benefits management
Writing skills
Health insurance policy knowledge
Presentations for conferences or internal meetings
HR legal compliance
Employee relationship building
English
Workers' compensation insurance knowledge
Union relations
ADA compliance
Accounting
Desktop applications
Technical Proficiency
Custom report preparation
Terms and conditions negotiation
Disability rights laws
Excel data analysis

Full Job Description

Description

Under the direction of the assigned manager, perform professional analytical duties related to employee benefits, leaves of absence, and workers’ compensation; and coordinate, plan, analyze, develop, implement and conduct state and institutional mandated functions associated with the administration of benefits, leave of absences, and workers’ compensation functions.

Responsibilities and Duties

ESSENTIAL FUNCTIONS:

Administer various employee benefit programs for the District, including health, dental, vision, life and disability insurance and medical flexible spending accounts.
Coordinate interactive process meetings and accommodation plans for employees as required by the Americans with Disabilities Act and Federal Employment and Housing Act regulations; initiate interactive process meetings; facilitate meetings; document process; and maintain files.
Coordinate with the Human Resources Department to develop essential functions and conduct job analysis for the District’s interactive process and/or long-term Disability claims.
Assist employees in the preparation of enrollment applications and the completion of other benefits-related materials; review enrollment materials for accuracy, completeness and compliance with established laws, policies, and procedures.
Serve as liaison between the District, plan vendors, third party administrators, and employees. Work with third party administrators to determine the best plan options. Transfer data to external contacts for services, premiums and plan administration. Investigate discrepancies and provide information in non-routine situations.
Administer and record leaves of absences including general leaves of absence in accordance with state and federal laws and/or District policy.
Assist with the District’s Workers’ Compensation program activities; advise managers and employees regarding guidelines and procedures; track lost time and temporary disability; monitor modified duty accommodations. Represent the District in deposition and/or mandatory settlement conferences with the Director of Human Resources. Assist in group presentations regarding the District’s Workers’ Compensation program. Serve as contact person for technical Worker’s Compensation issues.
Coordinate and conduct new employee benefit orientations and in-service trainings.
Review and audit monthly premiums statements for all group insurance policies and maintains statistical data relative to premiums, claims, and costs. Reconcile and prepare benefits statements. Oversee automated billing process for classified and adjunct employees who purchase health benefits.
Work with management and bargaining units annually to determine benefit plans and offerings. Participate in the development of bid material for procuring District benefit offerings.
Serve as facilitator to employees relative to the retirement process through State retirement systems and transitions to District retirement programs.
Enter mid-year benefit calculations, payroll adjustments and deduction maintenance in coordination with the Payroll and Workers’ Compensation areas.
Ensure compliance with applicable government regulations. Assure timeliness and accuracy of required filings. Assist in the development of long-range objectives regarding benefit programs.
Establish and maintain complex file and record systems, including leave accrual banks and confidential and sensitive materials. Enter, maintain, and track complex benefits data in manual and/or automated systems.
Provide customer service support to internal and external customers. Respond to inquires and correspondence; prepare information and data requested for administrative review; prepare reports and other documents as required. Develop and prepare visual presentations, flyers, and graphic materials.
Adhere to, and monitor regulations, requirements, and obligations according to bargaining unit contracts and education code. Review and make recommendations concerning health and welfare policies.
Assist in the development of bargaining unit contract language in areas related to health and welfare benefits and leaves of absence. Serve on the District’s negotiation team for all labor represented groups.
Coordinate and prepare materials regarding active employee and retiree benefit information for the Health Insurance Review Committee and other District workshops or group presentations regarding benefits.
Perform related duties and responsibilities as assigned.

Qualifications

Knowledge of:

Principles and practices of human resource benefits management, Federal and State leave laws and management, and Workers Compensation laws and management.
Standard English usage, spelling, grammar, and punctuation, and ability to compose professional communications, and methods and techniques of research and basic report preparation.
Methods and techniques of business letter composition.
Basic accounting principles.
Insurance agreements, claim processing, and adjustment procedures.
Worker’s Compensation regulations and practices.
Interactive process for FEHA and ADA accommodation requests.
Effective planning and priority setting.
Standard office procedures and equipment; computer proficiency and technical aptitude utilizing MS Word, Excel, Power Point, Quicken, etc.
Benefit contract language.
Pertinent federal and state regulations, filing and compliance requirements affecting employee benefit programs, including ERISA, COBRA, FMLA, ADA, CFRA, FEHA, Medicare, HIPPA and California Education Code, Title 5, and DOL.

Ability to:

Maintain confidentiality of work performed including files and records.
Prepare fiscally related reports and documents.
Participate in employee grievances and negotiations.
Analyze data to produce reports.
Organize assigned tasks and make adjustments in priorities as required.
Administer various bargaining unit contracts.
Speak to groups and large gatherings of people for open enrollment, orientation, and other benefit programs.
Explain District hiring policies and procedures.
Communicate clearly and concisely, both verbally and in writing.
Establish and maintain cooperative and effective working relationships with all employees and others encountered in the course of work.
Demonstrate sensitivity to and understanding of the diverse academic, socioeconomic, cultural, disability, gender identity, sexual orientation, linguistic, and ethnic backgrounds, and disabilities of community college students and staff as demonstrated by skills and abilities in cultural responsiveness and cultural humility.

EDUCATION AND EXPERIENCE:

Any combination of education and experience that would provide the required knowledge and abilities is qualifying. A typical way to obtain the required knowledge and abilities would be:

Education:
Bachelor’s degree from an accredited college or university with a major in business, human resources, or a related field.

Experience:
Three years’ experience of human resources one year is required in benefits administration or related field.

Supplemental Information

WORKING CONDITIONS:
Consistent with its obligations under the law, the San Joaquin Delta College will provide reasonable accommodation to any employee with a disability who requires accommodation to perform the essential functions of their job.

Physical Demands:

Regularly perform desk-based computer tasks.
Frequently sitting.
Occasionally stand/walk, reach/work above shoulders, grasp lightly/fine manipulation, grasp forcefully, use a telephone, sort/file paperwork or parts, lift/carry/push/pull objects that weigh up to 30 pounds.
Rarely twist/bend/stoop/squat, kneel/crawl.

Work Environment:
Office Environment. A workplace featuring typical office amenities, including computers, telephones, and office furniture, in a controlled indoor setting.

San Joaquin Delta College offers its employees a comprehensive fringe benefit package that includes health insurance, dental insurance, vision care, life insurance, and long-term disability. This coverage is offered for the employee and their dependents.

Please note:

Full-Time Employees - Participation in medical, dental and, vision is MANDATORY and employees may not opt out even if covered by other insurance.
Part-Time Employees - Employees are eligible to participate in medical, dental, and vision but must meet eligibility criteria and are responsible for 100% of the cost.

Benefits details can be found at: Employee Benefits Package

Retirement Plan
Retirement information can be found at: San Joaquin Delta College - Retirement

Paid Time Off
The District realizes the importance of creating a balance between work and personal life. To work at the highest ability, employees need to take time away from their job for rest, recreation, and important personal matters. To accommodate those needs, SJDC provides generous holiday and vacation schedules and sick time hours.

District Holidays
San Joaquin Delta College - District Holidays

Tuition Fee Waiver
Employees and their eligible dependents are eligible for tuition fee waivers for regular classes (not including community service classes) taken at Delta College.

Events
All Athletic home events (excluding playoffs) are free to the public.

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Refine Your Search

claims analyst jobs in stockton, ca

Benefits and Leave Analyst/Confidential

Javelina Support & Application Modernization Analyst

Senior Facets Configuration Analyst

Facets Configuration Analyst

Facets Configuration Analyst

Technical Analyst - Facets platform

Epic Tapestry UM Analyst

RCM Analyst/Developer (Cerner)

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