Claims Analyst

Overview

Physicians Mutual is seeking a detail-oriented Claims Analyst to review and evaluate claim documents and correspondence to ensure accurate and timely processing. In this role you will analyze medical and coded information, interpret correspondence and apply your knowledge of medical terminology, coding and state regulations to determine proper claim handling.

Responsibilities

• Identify and analyze claim information by reading and interpreting written and coded correspondence using specific knowledge of and experience with code identification, medical terminology and state regulations/laws.
• Analyze correspondence and convert medical diagnoses and surgical procedures to computer compatible codes.
• Research master claim records, claim history records, available manuals and reference books to clarify conflicting or missing information.

Qualifications

• High school diploma or equivalent is required.
• One year experience in an office setting demonstrating strong PC skills is preferred.
• Strong knowledge of medical terminology and general knowledge of health insurance products.
• Strong decision-making skills with the ability to work independently.
• Reading and attention to detail.
• Ability to follow written and verbal instructions.

About Us

Health. Life. Retirement. The Physicians Mutual family empowers people from all walks of life to enjoy the financial security they deserve. That’s what Insurance for all of us® is about.

The Physicians Mutual family includes Physicians Mutual Insurance Company, Physicians Life Insurance Company and Physicians Select Insurance Company. Physicians Mutual offers reliable dental and supplemental health insurance, and pet insurance. Physicians Life provides important life insurance, Medicare Supplement insurance and coverage for funeral pre-planning. Physicians Select Insurance Company additionally offers exclusive Medicare Supplement insurance.

Since our start in 1902, our dedication to delivering on our promise has helped make us one of the nation’s leading health and life insurance providers. In fact, we are rated in the top 1% of insurance companies. We consistently maintain some of the highest financial strength ratings in the nation from independent insurance analysts, including A.M. Best Company and Weiss Ratings, ensuring we’ll be there for our policyowners and our employees far into the future.

But the achievement we’re most proud of? We have a 95% customer satisfaction rating – a true sign of a company dedicated to embodying its vision.