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Claims Analyst

Date Posted: Jun 28, 2026
Yearly: USD - USD

Job Detail

  • location_on
    Location Wisconsin, United States of America
  • desktop_windows
    Job Type: Permanent
  • schedule
    Shift:
  • analytics
    Career Level:
  • group
    Positions:
  • calendar_view_day
    Experience:
  • male
    Gender: No Preference
  • school
    Degree:
  • calendar_month
    Apply Before: Sep 28, 2026

Job Description

Overview

The Claims Analyst at Operating Engineers Local 139 Health Fund is responsible for the accurate and timely processing of medical, dental, and vision claims according to plan provisions and coding standards. The role requires strong communication skills and the ability to interact professionally with various stakeholders while managing compliance and production standards.

Key responsibilities

  • Process claims for active members and retirees according to plan provisions and coding standards
  • Review claims for coding accuracy, identifying miscoding or non-covered procedures
  • Deliver customer service by responding to inquiries about eligibility, benefits, claim status, and plan procedures
  • Manage multiple deadlines while ensuring compliance and coding accuracy
  • Ensure compliance with HIPAA, ERISA, and internal audit standards
  • Perform additional duties and special projects as needed

Required skills

  • Experience in automated dental claims processing environment
  • Strong customer service and communication skills
  • Analytical and presentation skills
  • Proficiency in Microsoft Office (Word, Excel, Outlook)
  • Experience with automated claims systems and dental claims platforms
  • Knowledge of HIPAA and ERISA compliance

What the company offers

Not specified in the original listing.

Skills Required

Company Overview

Wisconsin, United States of America

Operating Engineers Local 139 Health Fund is dedicated to providing health benefits to its members and their families. They focus on delivering accurate and timely processing of claims while ensuring compliance with industry standards. Read More

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