Claims Analyst 2

BCforward is currently seeking a highly motivated Claims Analyst 2 for an opportunity in St. Louis, MO 63105!

Position Title: [ Claims Analyst 2]
Location: [St. Louis, MO 63105]
Anticipated Start Date: [5/5/2025]
Please note this is the target date and is subject to change. BCforward will send official notice ahead of a confirmed start date.
Expected Duration: [2 Months Contract with the possibility of extension]
Job Type: [FULL TIME (>%3D40 HRS WEEKLY)/PART TIME (<40 HRS WEEKLY)], [CONTRACT], [REMOTE]
Pay Range: [$23.00 per/hr. W2]

Job Description:
The main purpose of a Claims analyst is to process pended medical claims, verifying and updating information on submitted claims and reviewing work processes to determine reimbursement eligibility. Ensure payments and/or denials are made in accordance with company practices and procedures.

Job Responsibilities:
Organize and work with detailed office or warehouse records, using computer to enter, access, search and retrieve data. Prepare and review insurance claim forms and related documents for completeness.
Provide customer service, such as giving limited instructions on how to proceed with claims or providing referrals to other facilities or contractors.
Review claims to determine whether or not claimant is covered under a policy, review policy to determine coverage, and evaluate the extent of a settlement.
Authorize claim payments, set reserves on payments, ensure timely disbursement of funds, coordinate or conduct investigations on claims, identify claims with possible recovery from third parties, and consult with attorneys, doctors, and agents in regards to the disposition of complex claims.
Education/Experience High school diploma or GED required. Bachelors degree in Business or related field preferred. 2-4 years experience required.

What makes this role interesting?
The IDR dispute process is federally regulated.
Opportunity to contribute to a high impact team that supports federal compliance under the No Surprises Act (NSA).
Every case is different, and analysts work through real-time challenges involving regulatory timelines & arbitration outcomes.
The roles offers exposure to regulatory operations and claim adjustments (this temp will not be processing claims).

Points about team culture
The team values open communication and teamwork.
Continuous improvement is part of the culture - process enhancements, learning new systems, cross-training, etc.
The team remains resolution focused.

Competitive market comparison
Direct involvement in regulatory operations and exposure to complex Independent Dispute Resolution (IDR) workflows under the No Surprises Act.
Deeper level of analytical and compliance-focused work that builds valuable experience.
Fast paced, high-visibility environment that collaborates closely with legal, compliance, and finance partners.

Unique selling points
Cross-functional collaboration
Opportunity to make an immediate impact.
Exposure to Regulatory & Compliance related work.

Value added or experience gained
Analytical & Investigative skills
Gaining regulatory knowledge
Workflow & System Efficiency

Education
Bachelor's degree in Business or related field preferred. 2-4 years experience required.

Must haves: Excel experience (1-2 years)
Nice to haves: Data Analytic skills
Amisys Claims experience (2-5 years)


Benefits:

BCforward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.


About BCforward:

Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.

BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.

BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.

To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.

This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.

Interested candidates please send resume in Word format Please reference job code 237503 when responding to this ad.