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Title
Text copied to clipboard!Healthcare Insurance Claims Analyst
Description
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We are looking for a Healthcare Insurance Claims Analyst responsible for collecting, evaluating, and interpreting data related to healthcare insurance claims. This position requires the ability to analyze complex information, identify patterns and trends, and provide insights to support decision-making in health insurance. The analyst will work closely with internal teams such as insurance departments, healthcare institutions, and IT specialists to ensure data accuracy and completeness. Additionally, the role involves preparing regular reports and presentations for company leadership and contributing to the optimization of claims processing workflows. The ideal candidate should have deep knowledge of the healthcare system, health insurance legislation, and experience with data analysis. Proficiency in analytical tools and databases is essential. This position offers opportunities for professional growth and the chance to improve service quality in the health insurance sector.
Responsibilities
Text copied to clipboard!- Collecting and analyzing healthcare insurance claims data
- Identifying trends and patterns in claims
- Preparing regular reports and presentations for management
- Collaborating with insurance and healthcare teams
- Designing and implementing improvements in claims processing
- Ensuring data accuracy and completeness
- Supporting decision-making based on data analysis
- Monitoring legislative changes in health insurance
- Maintaining documentation and data archiving
- Participating in training and professional seminars
Requirements
Text copied to clipboard!- University degree in healthcare, economics, or related field
- Experience in data analysis and reporting
- Knowledge of healthcare system and health insurance legislation
- Advanced skills in MS Excel, databases, and analytical tools
- Ability to work independently and in teams
- Analytical thinking and attention to detail
- Good communication skills
- Communicative level of English
- Experience with data visualization software is a plus
- Focus on quality and accuracy
Potential interview questions
Text copied to clipboard!- What experience do you have with healthcare data analysis?
- Which analytical tools and software do you use?
- How would you identify anomalies in claims data?
- Do you have experience creating reports for management?
- How do you handle work under pressure and deadlines?
- What legislative aspects of health insurance do you know?
- How would you improve the claims processing workflow?
- What is your experience with teamwork?
- What methods do you use to verify data accuracy?
- How do you keep updated in healthcare insurance claims?
