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Claims Analyst

TEKsystems
$19.25 / hr
life insurance, sick time, 401(k), retirement plan
United States, Wisconsin, Brookfield
Apr 09, 2025
*Must be located in Wisconsin!* Description As a Claims Analyst II you will be tasked with the following: * Examine and process paper claims and/or electronic claims. * The person in this role determines whether to return, pend, deny or pay claims within established policies and procedures. * Determines steps necessary for adjudication. * Follows established departmental policies and procedures, operating memos and corporate policies to resolve claim and claim issues. * Settles claims with Claimants in accordance with policy provisions. * Compares claims application and/or provider statement with policy file and other records to evaluate completeness and validity of claim. * Pays claimant's amount due. Additional Skills & Qualifications MUST: * High school diploma or equivalent preferred. * 1.5-4 years claims processing experience required (healthcare related) * Knowledge of current procedural terminology (CPT) and international classification of diseases (ICD-9 and ICD-10). Medical terminology, COB processing, subrogation. Hours: * M-F First Shift Pay and Benefits The pay range for this position is $19.25 - $19.25/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee Assistance Program * Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Apr 11, 2025. About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.