Top 9 Claims analyst Jobs in West Bend Wi

Claims Analyst
OPERATING ENGINEERS LOCAL 139 HEALTH FUND —Pewaukee, WI
- $21.83 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Writing skills
- Health insurance
- Dental insurance
Quick Apply
Change Management Senior Analyst - MICON Group, Inc.
Michels Corporation —Lomira, WI
- 6 years
- Research
- Mid-level
- Health savings account
- Disability insurance
Quick Apply
8d
Senior Program Financial Analyst
Leonardo DRS —Menomonee Falls, WI
- 7 years
- Oracle
- Office
- Paid parental leave
- Health savings account
Payer Pricing & Data Analyst
Hemophilia Alliance —United States
- $60,000 - $100,000 a year
- Full-time
- Remote
- Microsoft Excel
- HIPAA
- English
- Health savings account
- Health insurance
Quick Apply
2d

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Change Management Senior Analyst - MICON Group, Inc.
Michels Corporation —Lomira, WI
6+ years technical documentation evaluation experience, or equivalent combination of education (for example, bachelors degree in construction management,…
Quick Apply
8d
Primary Care Physician
Rock River Community Clinic, Inc —Johnson Creek, WI
MD or DO license in the state of Wisconsin (Required). Valid medical license to practice in Wisconsin and Board Certified in Family Practice, Internal Medicine,…
$95 - $105 an hour
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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. Handles cases in compliance with state statutes.
$90,000 - $100,000 a year
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
5d

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claims analyst jobs near west bend wi

Claims Analyst

OPERATING ENGINEERS LOCAL 139 HEALTH FUND
Pewaukee, WI

Quick Apply

Job Details

Full-time
$21.83 an hour

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Microsoft Excel
Microsoft Outlook
Medical claims processing software
High school diploma or GED

Full Job Description

Benefits:

Pension
Dental insurance
Health insurance
Paid time off
Vision insurance

Claims Analyst

The Claims Analyst is responsible for the accurate and timely processing of medical, dental, and vision claims in accordance with plan provisions, policies, and current coding standards. This role requires excellent communication skills and the ability to maintain a professional, business-like manner when interacting with co-workers, business agents, providers, and participants—by telephone, in person, and in writing.

Classification levels within the Claims Analyst position are determined by production standards and/or expanded responsibilities within the scope of general duties.

Key Responsibilities

Process claims for active members and retirees in accordance with plan provisions, policies, and current codes, ensuring accurate benefit application and payment determinations.
Review claims for coding accuracy and appropriateness, identifying potential miscoding, upcoding, duplicate billing, or non-covered procedures in alignment with plan design.
Deliver exceptional customer service by responding to telephone, written, and in-person inquiries regarding eligibility, benefits, claim status, payment determinations, and plan procedures.
Manage multiple deadlines while maintaining high production, coding accuracy, and compliance standards.
Ensure compliance with applicable regulations, including HIPAA, ERISA, and internal audit standards.
Perform other related duties and special projects to support departmental and organizational objectives.

Minimum Qualifications

High school diploma or equivalent required; additional education or certifications in claims processing, medical coding, dental assisting, dental hygiene, healthcare administration, or a related field helpful but not necessary.
One or more years of experience in an automated dental claims processing environment with demonstrated success meeting production, coding accuracy, and quality standards.
Strong customer service, communication, analytical, and presentation skills professionally.
Proficiency in Microsoft Office applications (Word, Excel, Outlook); experience with automated claims systems and dental claims platforms required.

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claims analyst jobs in west bend wi

Claims Analyst

Change Management Senior Analyst - MICON Group, Inc.

Senior Program Financial Analyst

Payer Pricing & Data Analyst

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