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Remote Claims Recovery Analyst Jobs in Minnesota

Captrue Benefits LLC

Claims Analyst

Blaine, MN · On-site +1

$52K - $62K/yr

This is a full-time position located in our Blaine, MN office, or remote, depending on location ... OUR VISION FOR THIS KEY ROLE The Claims Analyst is responsible for the review and analysis of ...

CSAA

Job Title Commercial Insurance Consultant, Claims Insights- Remote Requisition Number R7770 ... Types of analyses may range from, but not limited to, root cause, cost benefit, performance ...

CSAA

... recover from life's uncertainties. You will join a collaborative, inclusive culture where your ... Investigate coverage by analyzing policy language, endorsements, and applicable state regulations ...

Corvel

Senior Indemnity Claims Specialist

Minneapolis, MN · Remote

$61K - $98K/yr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives Workers' Compensation ... Manages potential claim recoveries of all types * Reports claims to the excess carrier when ...

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Remote Claims Recovery Analyst information

What is a remote claims recovery analyst?

A Remote Claims Recovery Analyst is a professional who reviews, investigates, and processes insurance or healthcare claims to identify overpayments, errors, or discrepancies. They work remotely to recover funds owed to the organization by analyzing claim data, communicating with clients or providers, and ensuring compliance with regulations. This role typically involves using specialized software, collaborating with other departments, and providing detailed reports on recovery activities. Strong analytical skills, attention to detail, and knowledge of insurance or healthcare claims processes are essential for success in this position.

What are the key skills and qualifications needed to thrive as a remote claims recovery analyst, and why are they important?

To thrive as a Remote Claims Recovery Analyst, you need strong analytical skills, attention to detail, and a background in finance, healthcare, or insurance, often supported by a relevant degree or experience. Familiarity with claims management software, data analysis tools, and Excel is typically required, and knowledge of industry regulations or certifications like Certified Professional Coder (CPC) can be beneficial. Excellent communication, problem-solving, and organizational skills are crucial for collaborating with stakeholders and managing multiple recovery cases efficiently. These competencies ensure accurate claims resolution, maximize recoveries, and uphold compliance in a remote working environment.

What are some common challenges faced by remote claims recovery analysts, and how can they be managed effectively?

Remote Claims Recovery Analysts often encounter challenges such as navigating complex insurance policies, managing large volumes of claims, and coordinating with multiple stakeholders virtually. To manage these effectively, strong organizational skills and attention to detail are essential. Proactive communication with clients, colleagues, and third-party payers, along with staying current on industry regulations, helps ensure accurate and timely claim resolutions. Regular check-ins with your remote team and leveraging digital workflow tools can also improve efficiency and collaboration.

What is the difference between Remote Claims Recovery Analyst vs Remote Insurance Claims Adjuster?

AspectRemote Claims Recovery AnalystRemote Insurance Claims Adjuster
Required CredentialsClaims certification, insurance knowledgeAdjuster license, insurance certification
Work EnvironmentOffice or remote, claims departmentRemote or on-site, claims handling
Employer & IndustryInsurance companies, third-party administratorsInsurance carriers, independent agencies
Common Search & ComparisonClaims recovery, debt collectionClaims assessment, settlement

The Remote Claims Recovery Analyst primarily focuses on recovering owed funds through claims analysis and debt collection, often working with insurance companies or third-party agencies. In contrast, the Remote Insurance Claims Adjuster evaluates and settles insurance claims, handling damage assessments and policy coverage. While both roles require insurance knowledge and certifications, their core functions differ—recovery versus claims settlement. Understanding these distinctions helps job seekers find the role that best matches their skills and career goals.

What are the most commonly searched types of Claims Recovery Analyst jobs in Minnesota?

The most popular types of Claims Recovery Analyst jobs in Minnesota are:

What are popular job titles related to Remote Claims Recovery Analyst jobs in Minnesota?

For Remote Claims Recovery Analyst jobs in Minnesota, the most frequently searched job titles are:

What job categories do people searching Remote Claims Recovery Analyst jobs in Minnesota look for?

The top searched job categories for Remote Claims Recovery Analyst jobs in Minnesota are:

What cities in Minnesota are hiring for Remote Claims Recovery Analyst jobs?

Cities in Minnesota with the most Remote Claims Recovery Analyst job openings:

Remote Claims Recovery Analyst jobs near you

Claims Analyst

Captrue Benefits LLC

Blaine, MN • On-site, Remote

$52K - $62K/yr

Full-time

Posted 17 days ago

Job description

Description

A CAREER AT CAPTRUE BENEFITS

Working at Captrue Benefits, you'll experience a culture that is made up of a group of people who are supportive, innovative, collaborative, and caring towards each other and the customers we serve.  Captrue Benefits is looking for a Claims Analyst to join our team.  This is a full-time position located in our Blaine, MN office, or remote, depending on location. Join our team and help us change the way healthcare is financed, disclosed and delivered.


OUR VISION FOR THIS KEY ROLE

The Claims Analyst is responsible for the review and analysis of medical and dental claims for accuracy and completeness, and the adjudication of claims based upon specific knowledge and application of each client's unique self-funded plan(s). This will include claims research where applicable and a range of claim complexity.  


Salary Range: $52,000 - $62,000


A SAMPLE OF WHAT YOU'LL GET TO DO IN THIS JOB 

  • Review, analyze, and adjudicate medical and dental claims in a timely and accurate fashion in accordance with company policies, regulatory requirements and client plan document provisions. 
  • Validate claim information to ensure completeness and accuracy; address any discrepancies or missing data. 
  • Pay, pend, or deny claims based on eligibility, precertification, COB, medical review, and claims policy. 
  • Facilitate claims audit and investigation activities with third-party reviewers. 
  • Resolve claims appeals, adjust claim payments, handle overpayments/refunds and verify correct plan loading. 
  • Consistently meet departmental standards for quality, productivity, and attendance. 
  • Deliver exceptional service to internal and external parties, addressing plan coverage and payment inquiries. 
  • Adhere to and apply all applicable privacy and security laws, including HIPAA, HITECH and any regulations promulgated thereto and maintain a secure work area. 
  • Attend training sessions to enhance knowledge of the claim system and industry standard practices. 
  • Perform various other tasks assigned. 


Requirements

WHAT YOU'LL BRING TO THE JOB

  • Minimum 4+ years of medical claim adjudication or related experience
  • In-depth knowledge of health plans/benefits, TPA/self-funding processes, medical terminology and professional/institutional claims adjudication. 
  • Excellent customer service skills with a strong sense of ownership and commitment to completing tasks with follow-through. 
  • Detail oriented with demonstrated ability to work independently, problem-solve and make decisions. 
  • Demonstrated ability to work in a dynamic and fast-paced environment managing multiple priorities with pressure of production schedules and deadlines. 
  • Knowledge of HIPAA regulations and a commitment to maintaining compliance with privacy and security standards. 
  • Proficiency in Microsoft Office (Word, Excel, Outlook) and data analysis. 
  • Prior experience working with a Third-party Administrator and/or VBA Software is highly preferred. 
  • High school diploma with equivalent work experience required.


WHO WE ARE

Captrue Benefits is a third-party administrator located in Minneapolis, Minnesota. Captrue Benefit's mission is to change the way healthcare is financed, disclosed and delivered. We need people who value honesty and transparency; people who take ownership and responsibility of whatever they are doing. We seek individuals who value all people and interact with humility and respect; people who like to dig deep into issues, who are curious and who understand life is about more than work. If you believe in our mission and share our Core Values, then we would like to talk about how we can make a positive impact together.


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