Claims Analyst jobs in Utah

Claims Analyst analyzes and reviews insurance claims for accuracy, completeness, and eligibility. Reviews claims for eligibility to be reimbursed. Being a Claims Analyst maintains updated records and prepares required documentation. Assists in controlling the cost of processing claims. Additionally, Claims Analyst contacts policyholders about claims and may provide information regarding the amount of benefits. May require a bachelor's degree or its equivalent. Typically reports to a supervisor or manager. The Claims Analyst gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Claims Analyst typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Claims Analyst
  • MotivHealth
  • South Jordan, UT FULL_TIME
  • Overview

    Who we are:

    MotivHealth is a growing insurance company changing healthcare by focusing on HSA-based insurance plans that produce lower premiums, better benefits and the ability for employees to build significant health savings. MotivHealth drives a unique approach to healthcare solutions by enabling their members to price their healthcare, understand their provider quality, and control their overall healthcare experience. Motivhealth drives change at the member and provider level by always placing the member first. As a company MotivHealth is committed to changing healthcare, providing unmatched member experience, and lowering healthcare premiums.

    Job Description

    The Claims and Implementations team is looking to hire a Claims Analyst. This role processes provider and member claims, ensuring accuracy and timeliness. You will be reviewing and adjudicating claims, resolving issues, while looking for ways to enhance the process. We need a self-motivated individual with strong attention to detail and a proactive approach to problem-solving. Enjoy a supportive culture, growth opportunities, and competitive pay and benefits.

    Responsibilities

    • Review and adjudicate claims from providers and members electronically and via paper submissions.
    • Ensure adherence to processing accuracy and volume standards consistently.
    • Identify and resolve claim issues, quality concerns, and other member/provider issues, escalating when necessary.
    • Document all interactions and actions, maintaining compliance with privacy and confidentiality standards.

    Qualifications

    • 2 years of experience as a claim analyst/processor in health insurance or related field.
    • Proficient in HCFA and UB claim processes.
    • Familiarity with medical terminology, CPT, ICD, and Revenue Coding a huge plus!
    • Self-motivated, organized, detail-oriented, and team player with strong interpersonal skills.
    • Ability to work independently, take initiative to improve processes, and demonstrate problem-solving skills.

    What We Offer

    • 401(k) retirement savings plan with company match
    • Wellness benefits including Medical, Pharmacy, Dental, Vision, Life, and Disability
    • Health Savings Account (HSA)
    • Paid time off
    • Professional development and Training
    • Flexible work schedules - including work-from-home options available depending on role

    Job Type: Full-time

    Pay: From $20.00 per hour

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Employee assistance program
    • Flexible schedule
    • Health insurance
    • Life insurance
    • Paid time off

    Schedule:

    • Monday to Friday

    Work setting:

    • In-person

    Experience:

    • Claims Processing: 2 years (Required)

    Work Location: In person

  • 2 Days Ago

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Structural Research Specialist
  • Claims Solutions
  • Lehi, UT FULL_TIME
  • Company Description We help the world see new possibilities and inspire change for better tomorrows. Our analytic solutions bridge content, data, and analytics to help business, people, and society be...
  • 19 Days Ago

C
Billing specialist
  • Claims Solutions
  • Lehi, UT FULL_TIME
  • Job Description Job Summary : Part-time, 4 hours per day. Handle incoming calls regarding invoices, payments and account status. Assist customers with updating and maintaining contacts on the account....
  • Just Posted

C
Developer II
  • Claims Solutions
  • Lehi, UT FULL_TIME
  • Company Description We help the world see new possibilities and inspire change for better tomorrows. Our analytic solutions bridge content, data, and analytics to help business, people, and society be...
  • 29 Days Ago

C
Executive Administrative Assistant
  • Claims Solutions
  • Lehi, UT OTHER
  • Company Description We help the world see new possibilities and inspire change for better tomorrows. Our analytic solutions bridge content, data, and analytics to help business, people, and society be...
  • 1 Month Ago

C
Test Automation Team Lead- HYBRID
  • Claims Solutions
  • Lehi, UT OTHER
  • Company Description THIS IS A HYBRID POSITION, 2 DAYS A WEEK IN LEHI, UTAH. NO FULLY REMOTE OPTIONS. We help the world see new possibilities and inspire change for better tomorrows. Our analytic solut...
  • 1 Month Ago

C
Reinsurance Claims Analyst
  • C. Winchell Agency, Inc.
  • New York, NY
  • Reinsurance Claims Analyst New York City - Remote Opportunity Property and Casualty Insurance Industry Come join the glo...
  • 4/25/2024 12:00:00 AM

T
Claims Analyst
  • Tucker Parker Smith Group (TPS Group)
  • San Diego, CA
  • Claims Analyst Location: San Diego, CA (Hybrid – 3x week onsite) 12-month Assignment (potential to extend or convert) Pa...
  • 4/24/2024 12:00:00 AM

R
Claims Analyst
  • Rose International
  • San Diego, CA
  • Date Posted: 04/22/2024 Hiring Organization: Rose International Position Number: 462737 Job Title: Claims Analyst Job Lo...
  • 4/24/2024 12:00:00 AM

B
Claims Analyst
  • Bernard Nickels & Associates
  • Mason, OH
  • Type: Contract Start Date: ASAP End Date: 6/30/2024 (w/ potential for extension) Location: Mason, OH (HYBRID position; i...
  • 4/23/2024 12:00:00 AM

S
Claims Analyst
  • Software Galaxy Systems, LLC
  • San Diego, CA
  • Hybrid Job Opportunity as " Claims Analyst" at San Diego, CA Location : San Diego, CA 92123 This is a hybrid position , ...
  • 4/23/2024 12:00:00 AM

E
Claims Analyst
  • ERISA Recovery
  • Dallas, TX
  • Job Description: Are you a high-performing collections analyst and underpaid? Join a team where compensation and opportu...
  • 4/23/2024 12:00:00 AM

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Claims Analyst
  • Fresno Pace By Innovative Integrated Health
  • Fresno, CA
  • Who We Are Are you interested in working for an organization whose mission it is to enable frail, underserved, and multi...
  • 4/22/2024 12:00:00 AM

F
Claims Analyst
  • Fresno PACE by Innovative Integrated Health
  • Fresno, CA
  • Who We Are Are you interested in working for an organization whose mission it is to enable frail, underserved, and multi...
  • 4/22/2024 12:00:00 AM

Utah is known for its natural diversity and is home to features ranging from arid deserts with sand dunes to thriving pine forests in mountain valleys. It is a rugged and geographically diverse state that is at the convergence of three distinct geological regions: the Rocky Mountains, the Great Basin, and the Colorado Plateau. Utah is one of the Four Corners states, and is bordered by Idaho in the north, Wyoming in the north and east; by Colorado in the east; at a single point by New Mexico to the southeast; by Arizona in the south; and by Nevada in the west. It covers an area of 84,899 sq mi ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Analyst jobs
$36,596 to $46,930

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