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Job Details

Job Title
: Claims Testing Analyst
Required Skills
: Advanced Excel, Claims, Data Entry, Insurance, Payment
: Expected 2 months contract with possible extension

Job Description

Pay Range:

  • $25/hr. – $26/hr. (the pay rate may differ depending on your skills, education, experience, and other qualifications).

Featured Benefits:

  • Medical insurance in compliance with the ACA
  • 401(k).
  • Sick leave in compliance with applicable state, federal, and local laws.

General Function:

  • Validation of base data in test environment to ensure setup complete prior to commencement of testing efforts.
  • Claims creation and validation for client testing requests and new client implementation.
  • The Analyst will be the liaison to the Senior Analysts and Manager of the Claims Testing team to identify claims processing discrepancies due to system setup issues that require cross functional partnership and retesting.

Major Duties And Responsibilities:

  • Work with cross functional departments to ensure system is ready for testing scenarios to be keyed.
  • Validate the integrity of claims data in the EyeMed claims and payments UAT systems.
  • Track all testing defects and the status of the defect resolution through re-testing.
  • Analyse and document clear and concise testing results so there is a smooth transition to EyeMed claims and payments production systems.
  • Maintain effective, on-going communication within Claims Testing Team and other key departments.

Basic Qualifications:

  • Experience in Claims or Data processing / testing.
  • Intermediate Level knowledge of PCs and spreadsheet applications.
  • Working knowledge of Claims Adjudication, Payments/Billing, and Data Reporting systems.
  • Strong communication, problem solving, teamwork and organization skills.
  • Strong analytical skills and critical thinking.
  • Ability to work cross functionally.
  • Ability to multitask and manage project timelines.

Preferred Qualifications:

  • Analysis experience.
  • Knowledge of Oracle SQL and/or Business Objects/EDW.
  • Knowledge of Facets
  • Knowledge of SAP
  • Highly motivated self-starter

Required Details

: 1-2 Years
Travel Required
: No
Clearance Required
: No

Contact Details

Contact person
: Uday Bhandary
: 678-675-1014

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