Claims Data Specialist

Imagine360 is currently seeking a Claims Data Specialistto join our team! The Claims Data Specialist will support the development and execution of reporting, data analysis, and data entry of claims information within Risk Operations.

Position Location: 100% remote

Responsibilities include but are not limited to:

• Responsible for the timely and accurate entry of Claims Data.
• Analyze data across various departments to solve business problems, create value and efficiency and find opportunities.
• Compile, analyze and interpret data with guidance from various stakeholders.
• Prepare analytical reports and develop data visualizations using best practices adhering to internal standards. Present findings to stakeholders and/or clients directly as needed.
• Evaluate options and make recommendations to business processes to gain efficiencies and enhance performance related to data.
• Use analysis techniques to support design, development, and maintenance of user-friendly and efficient business and data processes.
• Perform project management for data entry and analysis projects.
• Solve complex problems and present solutions to senior leaders.
• Contribute to development of new analytical processes to optimize the business.
• Collaborate extensively with Risk Operations leaders to ensure successful projects and optimized use of data and resources.
• Participation in other projects and duties as assigned.

Experience / Education:

• High School diploma or GED required.
• Bachelors degree preferred
• 2 years' experience in a data analyst role or stop loss claims or operations experience.
• 2 years of experience analyzing healthcare claim data sets preferred.
• Healthcare industry / HIPAA regulated data environment experience preferred.
• Advanced proficiency with Microsoft Excel.
• Flexibility, curiosity, and persistence.
• Excellent organizational skills, with acute attention to detail.
• Team experience working closely with business professionals and technical resources to act as a bridge between the two groups (internal / external).
• Ability to work in fast-paced, dynamic environment.

Wha can Imagine360 offer you?

• Multiple Health Plan Options, including a 100% employer paid premiums option
• 100% Company paid employee premiums for Dental, Vision, STA, & LTD, plus Life Insurance
• Parental Leave Policy
• 20 days PTO to start / 10 Paid Holidays
• Tuition reimbursement
• 401k Company contribution
• Professional development initiatives / continuous learning opportunities
• Opportunities to participate in and support the company's diversity and inclusion initiatives

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Imagine360 is a health plan solution company that combines 50+ years of self-funding healthcare expertise. Over the years, we've helped thousands of employers save billions on healthcare. Our breakthrough total health plan solution is fixing today's one-size-fits-none PPO insurance problems with powerful, customized, member-focused solutions.

Imagine360 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, disability, or veteran status.

**RECRUITMENT AGENCIES PLEASE NOTE: Imagine360 will only accept applications from agencies/business partners that have been invited to work on a specific role. Candidate Resumes/CV's submitted without permission or directly to Hiring Managers will be considered unsolicited and no fee will be payable. Thank you for your cooperation**