Senior Claims Analyst

Company Description

We help the world see new possibilities and inspire change for better tomorrows. Our analytic solutions bridge content, data, and analytics to help business, people, and society become stronger, more resilient, and sustainable.

Job Description

We are seeking a Senior Claims Analyst for our Allocation Solutions Department. In this role you will be responsible for file intake and set up of all Medicare Secondary Payer (MSP) products, full review, analysis and response to submission requests and development letters, information and documentation follow-up, and client communication. Additionally, you will participate in training new employees or current staff, as needed. The Senior Claims Analyst role is considered a “Subject Matter Expert” role and is heavily client facing. Each claims analyst is responsible for successful communication, timely responses and providing overall excellent customer service.

If you thrive in a fast-paced environment that emphasizes individual accountability with the support of a team structure, come join us!

About the Day to Day Responsibilities of the Role

• Serve as Subject Matter Expert for peers, train new employees and current staff as needed
• Intake incoming referrals into claims system, including initial follow-up for incomplete referrals for missing information
• Comprehensive review, analysis and response to CMS submission requests, development letters and all other communication received from CMS and/or their contractors
• Serve as primary point of contact for assigned clients
• Manage work queues for assigned clients and ensure adherence to client and internal SLA’s
• Communicate effectively, timely and comprehensively. Communication includes, but is not limited to, internal emails, client inquiries, case status requests, case updates and general subject matter questions
• Assist attorneys and staff as needed
• Assist with training new employees and staff as needed

Qualifications

About You and How You Can Excel in This Role

• Demonstrated subject matter expertise
• Detail oriented, organized, and quality focused 
• Advanced customer service and communication skills, both verbal and written
• Excellent technical skills and working knowledge of Microsoft Office
• Able to work independently, self-directed, highly motivated
• Desire to work in a fast-paced, professional environment
• Flexible and adaptable
• 2-3 years’ experience
• Associate’s or bachelor’s degree preferred

Additional Information

In 2022, Verisk received Great Place to Work® Certification for our outstanding workplace culture for the sixth year in a row and second-time certification in the UK, Spain, and India. We’re also one of the 38 companies on the UK’s Best Workplaces™ list and one of 18 companies on Spain’s Best Workplaces™ list.

For over fifty years and through innovation, interpretation, and professional insight, Verisk has replaced uncertainty with precision to unlock opportunities that deliver significant and demonstrable impact. From our historic roots in risk assessment, we’ve grown to provide analytic insights that help transform industries focused on some of the world’s most critical areas. Today, the insurance industry relies on Verisk to be, and to make the world, more productive, resilient, and sustainable.

Verisk works in collaboration with our customers and at the intersection of people, data, and advanced technologies. Through proprietary platformed analytics, advanced modeling, and interpretation, we deliver immediate and sustained value to our customers and through them, to the individuals and societies they serve, with greater speed, precision, and scale.

We’re 9,000 people strong, committed to translating big data into big ideas. We help others see new possibilities and empower certainty into big decisions that impact individuals and societies. And we relentlessly and ethically pursue innovation to help move our customers, and the world, toward better tomorrows.

Everyone at Verisk—from our chief executive officer to our newest employee—is guided by The Verisk Way, to Be Remarkable, Add Value, and Innovate.
• Be Remarkable by doing something better each day in service to our customers and each other
• Add Value by delivering immediate and sustained results that drive positive outcomes
• Innovate by redefining what’s possible, embracing challenges, and pushing boundaries

Verisk Businesses

Underwriting Solutions — provides underwriting and rating solutions for auto and property, general liability, and excess and surplus to assess and price risk with speed and precision