Claims Analyst 2

BCforward is currently seeking a highly motivated Claims Analyst II for an opportunity in Remote - EST

Job Title: Claims Analyst II
Location: Remote (Eastern Time Zone)
Contract Type: 6-Month Contract (with possibility to extend or convert)
Pay Rate: $20.07/hour
Work Schedule: Monday - Friday, 8:00 AM - 5:00 PM EST (OT may be required based on workload)

Position Summary:

The Claims Analyst II is responsible for reviewing and processing routine and medical vision claims. This role requires verification of submitted information, assessment of claim eligibility, and accurate disbursement or denial of payments in accordance with company policies and procedures. The position supports the adjustment team, which reprocesses claims previously paid or denied incorrectly.

Key Responsibilities:

• Process adjusted claims using internal systems (Track-It and Risk Manager).
• Organize and maintain records; use computer systems to access and retrieve data.
• Review insurance claim forms for accuracy and completeness.
• Determine policy coverage and claim eligibility.
• Authorize payments or denials and ensure timely fund disbursement.
• Handle refund applications and investigate claim discrepancies.
• Coordinate with attorneys, doctors, agents, and third parties as needed.
• Provide limited customer service support or referrals to external contacts.
• Collaborate with internal teams and contribute to departmental projects.

Education & Experience Requirements:

• Required: High School Diploma or GED
• Experience: 2-4 years of claims processing experience (minimum 6 months required)

Preferred Skills:

• Strong knowledge of claims processing and medical terminology
• Familiarity with health insurance procedures
• Proficient in Microsoft Excel (including VLOOKUP and pivot tables)
• Ability to meet quality standard of 97% and production target of 100%
• Strong multitasking and organizational abilities
• Clear written and verbal communication skills

Work Environment:

• Fully remote (EST candidates only)
• Collaborative, communicative team culture
• Supportive training process including onboarding, system training, and cross-training across claim types

Interview Process:

• Interviews conducted via Microsoft Teams
• No required assessments unless otherwise noted

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 238429 when responding to this ad.