Production Analyst

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