Claims Analyst: SIHO Insurance Services


This is a non-exempt position responsible for reviewing, analyzing and adjudicating non-routine health claims that could not be system adjudicated for payment. Analyst must research and interpret summary plan description language and make accurate determination for adjudication or denial of claim.  Analyst must also assist in determining cause for manual intervention, then assist in writing logic and workflow automation for future claims.


Brief Description of Duties: 

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