Analyst

• Analyze and process medical and dental expense reimbursement claims, ensuring accuracy and compliance with contractual terms.
• Gather the information required to process a claim and make the decision to accept or deny it according to the contract terms.
• Verify and validate submitted documents, confirm providers' identities, and implement necessary controls.
• Communicate with members and providers to obtain missing information, meeting established deadlines.
• Identify opportunities to improve processes and contribute proactively to their enhancement.

Health – Dental Analyst

Senior or Principal Analyst – Data Visualization