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Claims Analyst

Listing for: Global Information Technology
Full Time position Listed on 2026-11-13
Job specializations:
Salary/Wage Range or Industry Benchmark: 41000 - 83000 USD Yearly USD 41000.00 83000.00 YEAR

Job Description & How to Apply Below

Job Title: EDI Claims Analyst

Job Location: Remote
Job Type: Contract

The EDI Claims Analyst is responsible for analyzing and processing electronic data interchange (EDI) transactions, including claims and eligibility inquiries. This role involves reviewing and resolving claim rejections, ensuring accurate data submission, and supporting various EDI transactions. The analyst will work closely with provider relations, IT, and other internal teams to ensure smooth and efficient claims processing.

Requirement:
  • Strong understanding of EDI transactions and claims processing
  • Proficiency in SQL and data analysis
  • Knowledge of Edifecs Smart-Trading platform, Availity Essentials, Informatica, and Apigee
  • Familiarity with CBH systems, including Connects and Flexicare
  • Excellent problem-solving and analytical skills
  • Ability to mentor and train team members
  • Executive leadership client facing

We are seeking a motivated Claims Analyst to join Global Information Technology in Southfield, MI, United States.

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