DHS Claims Assessment_Reimbursement, Analyst
Core
Manage and resolve insurance claims (reimbursement and direct billing) to ensure policyholder compensation and minimize financial risks.
Role type
Individual Contributor Claims Analyst
Builds
Insurance claim resolutions and payments
Domain
Insurance / Healthcare
Required skills
Claims lifecycle management, Policy coverage evaluation, Fraud identification, Regulatory compliance, Payment processing, Provider communication, Quality assurance auditing, Customer service
Preferred skills
Medical background
Technologies
None stated
Responsibilities
Manage reimbursement claim lifecycle from submission to resolution, Evaluate claims based on policy coverage and medical necessity, Identify potential fraud and implement preventive measures, Process payments and calculate policy benefits, Communicate with customers and providers for document requests, Conduct quality assurance audits and provide feedback, Address customer inquiries regarding claims
Seniority
Mid-level Individual Contributor