Analyst/Senior AnalystJob Description: -WE are seeking a highly motivated and detailed oriented Claims Analyst to join our team. As a claim’s analyst, you will play a critical role by investigating, evaluating and reviewing insurance claims to ensure accurate and timely resolution.Key Job Role Reviewing Adjudicated claims:Reviewing claims processing policies and guidelines.Reviewing provider contracts.Analyzing historical overpayment trends.Analyzing claims data to identify outliers.Review and access insurance claims to determine coverage, liability and eligibility.Validate details such as claim ID, Date of service, refund amount and reason for the overpayment from image.Validate claim in system and match all the information from images.Conduct thorough investigations, including gathering relevant documentation.Collaborate with internal departments, and insurance adjusters to gather necessary information.Calculate claims correct payment.Maintain detailed and accurate records of claims and related correspondence.Assist team members and as and when required. Maintain and track overpayment projects in organized and timely manner.Adhere to all client and company policies without exceptions. Job RequirementExpertise in US Health Insurance Claims Processing (Mandatory).Excellent communication skill for client interaction (Mandatory).Good basic mathematics, reasoning, and interpretation skills (Mandatory).Working knowledge of MS Excel for project delivery (Mandatory).Basic understanding of SQL and VBA (preferred).Experience in reporting and data analysis (preferred).Preferred Qualifications:US Healthcare experienceBachelor’s degree and equivalent work experience.Minimum 2-3 years’ experience in claims analysis or a related filed.Strong analytical and problem-solving skillsProficient in using claims management software and tools.Knowledge of insurance industry regulations and practices.Ability to work independently and as part of a team.Detail oriented with a high level of accuracy.Strong organizational and time management skills.Commitment to maintaining confidentiality and ethical standards.