What are the responsibilities and job description for the Production Analyst position at Amalgamated Life?
Overview
The Production Claims Analyst is responsible for the review, investigation, decision making, and processing of production claim types, and all related claim functions and activities.
Responsibilities
- Review and adjudicate all types of claims designated as “production claims”, meeting production and quality goals.
- Review, investigate, and apply all necessary criteria to determine validity of claim.
- Understand the Anthem JAA workflow and apply JAA processing procedures, rules, and guidelines to adjudicate JAA claims.
- Apply benefit plan rules and processing guidelines to pay, pend, or deny claims.
Qualifications
- One to two years of college or equivalent experience.
- Medical billing and/or AMA coding experience preferred.
- Data Entry experience or equivalent type work using keyboard/PC.
- Requires NYS Accident & Health Adjuster License with in 3 months of hire
- This is a Union position.
Salary: 43,360.00