Senior Analyst Claim Reporting and Special Services

Qureos
Anywhere
Workplace: HybridFull timeUSD 46,988 - 112,200Function: Solutions Engineering & Sales EngineeringExperience: 2+ yearsEducation: high_schoolSkills: ["Work ethic","Independent working","Data analysis","Initiative","Flexibility"]

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.

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FursaFursa
Qureos
Qureos
4 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: 14 hours agoStatus: Live
Reposted: similar role first listed 1 week ago

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: Anywhere
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
WebsiteLinkedIn