2 weeks ago

Senior Analyst Claim Reporting and Special Services

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI

Last checked: 13 hours agoStatus: Live

Job Summary

Oversee and coordinate rework projects for affected health claims, serving as a Project Lead for network-specific or large-scale rework driven by plan sponsor issues, release fallout, or legal/regulatory/compliance concerns. Partner with the Commercial Services Operations team to manage timelines, conduct root cause analysis, interface with relevant areas, and ensure accurate resolution by due dates. Process claims in the ACAS system and provide regular updates via conference calls.

Location: United States

Workplace: Hybrid

Employment Type: Full time

Job Function: Solutions Engineering & Sales Engineering

Seniority: Mid level

Key Responsibilities

•Oversee and coordinate rework projects/issues for specific networks or large-scale efforts to ensure timely, accurate resolution of affected claims.
•Provide project management and root cause analysis in partnership with the Commercial Services Operations team.
•Maintain project status, ensuring work stays on track and is handled by due dates.
•Interface with appropriate internal areas to support claim resolution.
•Lead regular project discussion/updates through conference calls.

Pay and Benefits

Salary: USD 46,988 - 112,200

Perks:Health InsuranceDentalVisionPaid LeaveRetirement SavingsWellness Stipend

Key Requirements

•Knowledge of Aetna claim and provider systems to manage rework project discussion and updates via conference calls.
•2+ years processing claims through the ACAS system.
•Ability to analyze data.
•Ability to work independently and as part of a team to maintain overall team effectiveness.
•Ability to handle high job demands while maintaining composure and initiative to improve performance.

Experience:2+ yearsHealthcareClaims processing

Education:High School

Skills:Work ethicIndependent workingData analysisInitiativeFlexibility

Tech Stack:AetnaACASUSQAExcelWordACCESS

Company Brief

Qureos

Provides an AI-powered hiring and recruitment platform that helps employers source, screen, and match candidates faster. The product is designed to streamline talent acquisition and reduce time spent on repetitive recruiting tasks.

Industry: HR Tech

Company Size: Medium (51 to 250 employees)

Growth: Growth Stage Startup

Headquarters: Dubai, United Arab Emirates

Founded: 2019

Website LinkedIn

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Qureos

2 weeks ago

Senior Analyst Claim Reporting and Special Services

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI

Last checked: 13 hours agoStatus: Live

Job Summary

Location: United States

Workplace: Hybrid

Employment Type: Full time

Job Function: Solutions Engineering & Sales Engineering

Seniority: Mid level

Key Responsibilities

•Oversee and coordinate rework projects/issues for specific networks or large-scale efforts to ensure timely, accurate resolution of affected claims.
•Provide project management and root cause analysis in partnership with the Commercial Services Operations team.
•Maintain project status, ensuring work stays on track and is handled by due dates.
•Interface with appropriate internal areas to support claim resolution.
•Lead regular project discussion/updates through conference calls.

Pay and Benefits

Salary: USD 46,988 - 112,200

Perks:Health InsuranceDentalVisionPaid LeaveRetirement SavingsWellness Stipend

Key Requirements

•Knowledge of Aetna claim and provider systems to manage rework project discussion and updates via conference calls.
•2+ years processing claims through the ACAS system.
•Ability to analyze data.
•Ability to work independently and as part of a team to maintain overall team effectiveness.
•Ability to handle high job demands while maintaining composure and initiative to improve performance.

Experience:2+ yearsHealthcareClaims processing

Education:High School

Skills:Work ethicIndependent workingData analysisInitiativeFlexibility

Tech Stack:AetnaACASUSQAExcelWordACCESS

Company Brief

Qureos

Industry: HR Tech

Company Size: Medium (51 to 250 employees)

Growth: Growth Stage Startup

Headquarters: Dubai, United Arab Emirates

Founded: 2019

Website LinkedIn