Claims Analyst

ZING. Enamel Whitening. Toothpaste, but magic.

Claims and Research Analyst at Zing Health; responsible for analyzing, documenting and reporting findings of claim processing issues. Ensuring proper integration with existing systems and edits while leading implementation efforts.

Posted 4/28/2026full-timeRemote • Illinois • 🇺🇸 United StatesMid-LevelSenior💰 $64,000 - $74,000 per yearWebsite

About the role

Key responsibilities & impact

Analyzing, documenting and reporting findings of claim processing issues
Interviewing stakeholders and researching claim processing issues within the medical claims processing system
Documenting the “how” and “why” of the claim processing issues
Leading implementation efforts with respect to new or modified claims processes
Analyzing problems, identifying systemic issues, and providing recommendations for mitigation and prevention
Supporting claims editing escalated provider disputes/appeals
Researching and providing feedback on claims editing performance issues
Collaborating with other departments to improve compliance with coding conventions and clinical practice guidelines
Thoroughly researching post payment claims and taking appropriate action to resolve identified issues within turnaround time requirements and quality standards
Acting as liaison with other departments when additional clarification is needed about claims payment policy disputes
Keeping Team Manager informed verbally and in writing of activities and problems within assigned area of responsibility.

Requirements

What you’ll need

Bachelor's degree in health service-related field
Minimum 3 years experience in evaluating insurance claims in accordance with applicable contracts and government regulations within their insurance type
Claims Investigations
Claims Processing
Research
Adjudication
Claims Resolution
Operations
Root Cause Analysis
Strong knowledge in Microsoft Office applications - Word, Excel, PowerPoint and other web-based applications
Personal management skills — Plan and manage multiple assignments and tasks, set priorities, and adapt to changing conditions and work assignments.
Teamwork — ability to work well with one or more groups.
Interpersonal effectiveness — Relate to co-workers and build relationships with others in the organization.
Strong work values — Dependability, honesty, and a positive attitude.

Benefits

Comp & perks

Medical, Dental, and Vision
Employer-Paid Life Insurance
Paid Maternal Leave
Paid Paternal Leave
401(K) match up to 4%
Paid-Time-Off
Employee Assistance Programs
Several supplemental benefits are available, including, but not limited to, Spouse Insurance, Pet Insurance, Critical Illness coverage, ID Protection, etc.

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

claims investigationsclaims processingresearchadjudicationclaims resolutionoperationsroot cause analysismedical claims processingcompliance with coding conventionsclinical practice guidelines

Soft Skills

personal management skillsteamworkinterpersonal effectivenessstrong work values

Certifications

Bachelor's degree in health service-related field