Senior Claims Analyst

Acrisure

Northside Drive, CA, United States
Base: $33 - $35; bonus/equity: not specified; bene...
Onsite
4 years medical claims adjudication experience
3 years healthpac system proficiency
Reference based pricing and qpa knowledge
Acrisure is seeking a Senior Claims Analyst for their third-party benefits administration team, SBMA, located in Northside Drive, CA. This role involves handling complex claims, mentoring junior staff, and improving operational processes within the Claims Department

Job Summary

  • The Senior Claims Analyst serves as a subject matter expert for HealthPac and SBMA's internal processes while overseeing complex claims adjudication.
  • This role involves providing quality assurance, auditing junior staff work, and leading training sessions to ensure operational excellence.
  • Acrisure offers comprehensive benefits including immediate 401(k) vesting, fertility benefits, and paid maternity and paternity leave.

Matching Summary

Match Score: 85

Acrisure is seeking a Senior Claims Analyst for their third-party benefits administration team, SBMA, located in Northside Drive, CA. This role involves handling complex claims, mentoring junior staff, and improving operational processes within the Claims Department.

Salary

Base: $33 - $35; Bonus/Equity: Not specified; Benefits: Comprehensive suite including medical, dental, vision, 401(k), and wellness resources

Skills & Requirements

Must-have

  • 4 years medical claims adjudication experience
  • 3 years HealthPac system proficiency
  • Reference Based Pricing and QPA knowledge
  • Complex claims adjudication and dispute resolution
  • Quality assurance auditing of claims work

Nice-to-have

  • Experience in lead or trainer role
  • 5+ years total medical claims experience
  • Strong Excel and reporting skills
  • Informal mentorship capabilities
  • Workflow improvement initiatives

Key Requirements

  • High School Diploma or equivalent
  • Minimum 4 years medical claims adjudication experience
  • Minimum 3 years HealthPac system use
  • Demonstrated experience with Reference Based Pricing
  • On-site presence required at CA location

Work Rights

Not specified

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