Sr Claims Analyst - LHB at Jobgether – United States

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Sr Claims Analyst - LHB in United States.

In this role, you will play a key part in ensuring accurate and timely processing of life and disability claims while delivering a high standard of service to members and stakeholders. You will analyze complex claim information, interpret policy provisions, and make informed benefit determinations in compliance with regulatory requirements. Working in a fast-paced, customer-focused environment, you’ll collaborate with internal teams and act as a trusted resource for claims-related guidance. This position offers the opportunity to combine technical expertise with critical thinking to resolve complex cases. You’ll also contribute to process improvements and support team performance through knowledge sharing. If you thrive in detail-oriented roles and enjoy problem-solving in a dynamic setting, this is a strong fit.

• Review, analyze, and adjudicate life and disability claims in accordance with policy provisions and regulatory guidelines
• Calculate benefit payments and communicate claim decisions clearly and accurately to members and stakeholders
• Handle claim-related inquiries and correspondence, ensuring timely and professional responses
• Collaborate with internal teams and act as a liaison to resolve issues and streamline claim processes
• Provide guidance and support to team members on claim processing procedures and best practices
• Maintain compliance with turnaround times, quality standards, and internal policies
• Identify process improvement opportunities to enhance efficiency and service quality

• High school diploma or GED required
• Minimum of 3 years of experience in medical or related claims processing
• Strong analytical and critical thinking skills with the ability to interpret complex documents and policies
• Excellent verbal and written communication skills
• Ability to work effectively in a fast-paced, production-driven, and customer-focused environment
• Strong organizational, problem-solving, and interpersonal skills
• Proficiency with Microsoft Office tools, particularly Excel and Word, and ability to navigate multiple systems
• Self-motivated with the ability to work independently and manage complex situations
• Preferred: experience in health insurance or third-party administration environments

• Competitive compensation ranging approximately from $17.71 to $33.25 per hour, based on experience and location
• Performance-based incentive bonus opportunities
• Comprehensive health, dental, vision, and disability insurance plans
• Retirement savings plan and pension options
• Generous paid time off, holidays, and paid parental leave
• Tuition reimbursement and professional development support
• Employee assistance programs and wellness resources
• Fully remote work environment (eligible states apply) with strong work-life balance support