Medical Claims Resolution Analyst

Gainwell Technologies

Claims Resolution Analyst in a healthcare operations role reviewing and resolving medical claims while ensuring compliance and accuracy. Collaborating with teams for effective claim outcomes and customer support.

Posted 7/25/2026full-timeRemote • Maine • 🇺🇸 United StatesMid-LevelSenior💰 $26,500 - $37,800 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in medical claims processing and resolution, with strong analytical and problem-solving skills. Proficient in managing multiple priorities while ensuring accuracy and effective communication with stakeholders.

Highest-signal resume keywords

Medical Claims ProcessingClaims ResolutionAnalytical ThinkingMicrosoft Office ProficiencyStrong Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Claims AnalysisHealthcare Insurance ExperienceAttention to DetailProblem-SolvingMultitaskingPrioritizationDeadline Management

Soft Skills

CollaborationCommunicationAdaptability

Tools & Technologies

Microsoft Office ApplicationsClaims Processing Systems

Industry Keywords

Healthcare OperationsProcessing GuidelinesService-Level Expectations

About the role

Key responsibilities & impact

Review, research, and resolve medical and dental claims in accordance with established processing guidelines and procedures.
Analyze claims issues and collaborate with internal departments to ensure timely and accurate resolution.
Manage multiple priorities while maintaining productivity, accuracy, and service-level expectations.
Communicate claim status, workload updates, and potential issues to leadership and business partners as appropriate.

Requirements

What you’ll need

Experience in healthcare insurance, medical claims processing, claims resolution, or a related healthcare operations environment.
Strong attention to detail, analytical thinking, and problem-solving skills.
Ability to multitask, prioritize work, and meet deadlines in a fast-paced environment.
Proficiency with Microsoft Office applications and the ability to navigate multiple systems to research and process claims.
Strong written and verbal communication skills, along with the ability to interpret policies, procedures, and operational guidelines.

Benefits

Comp & perks

Comprehensive health benefits
Generous, flexible vacation policy
401(k) employer match
Educational assistance
Leadership and technical development academies