Claims Analyst I

Trend Health Partners

Claims Analyst identifying and recovering claim overpayments for commercial health insurance companies and state healthcare programs while collaborating in a dynamic organization.

Posted 5/29/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $50,000 - $60,000 per yearWebsite

About the role

Key responsibilities & impact

Acquire knowledge of the client’s claims adjudication system(s), member and provider contracts, and client claim payment policies and procedures.
Assist client in identifying, validating, and recovering claim overpayments.
Validate claims to ensure the accuracy of algorithms and that no refund has previously been posted to the client’s system(s)
Review and resolve disputed overpayments from client/provider.
Identify new overpayment opportunities by reviewing and researching areas such as CMS and Medicaid claims processing policies, adjustments by client’s internal unit/other vendors, client’s claims processing policies/system(s), provider, and member contracts.

Requirements

What you’ll need

Bachelor’s degree in accounting, business, healthcare, or a related field. Equivalent work experience in a similar position may be substituted for educational requirements.
Excellent computer skills and proficient in Excel
Strong analytical skills
Attention to detail
Proven problem-solving abilities
Excellent written and oral communication skills
Effective organization, time management skills
Highly analytical, self-motivated, and directed
Must be able to learn, understand, and apply new technologies.
High School Diploma or Equivalent Required

Benefits

Comp & perks

Competitive salaries
Highly valued health insurance
401(k) plan with employer match
Paid parental leave
Performance-based incentive program

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

claims adjudicationclaims processingoverpayment recoveryalgorithm validationdata analysisExcel

Soft Skills

analytical skillsattention to detailproblem-solvingwritten communicationoral communicationorganizationtime managementself-motivated

Certifications

Bachelor’s degreeHigh School Diploma