Claims Funding Analyst

Claims Funding Analyst

Assured Benefits Administrators, Inc. (ABA) is a full-service third-party administrator, or TPA, providing flexible and fully integrated healthcare administration and management solutions across the United States since 1985. We are part of an international healthcare group with more than 35 years of industry experience, and we're fully integrated with our long‑term partners, who are recognized as industry leaders.

ABA is a certified "Great Place to Work", united by a single mission: standing with members through every moment and milestone in their healthcare journey. With decades of industry experience and a team driven by passion, integrity, and excellence, ABA is committed to delivering connected, transparent, and innovative healthcare solutions to employers and members across the United States.

The Claims Funding Analyst is responsible for preparing daily groups' claims payment registers and invoices, obtaining groups' authorizations and funding, daily reconciliations of accounts, and collections. This role ensures that claim payments are disbursed in a timely manner while maintaining strong controls and customer service standards.

• Prepare daily claim payment registers and invoices within the claims management system
• Maintain accurate and up-to-date records of all funding activity, ensuring proper documentation and audit readiness
• Monitor funding queues to ensure compliance with service level agreements (SLAs) and turnaround times
• Track and confirm receipt of claims funding from clients and post payments accurately to the claims system
• Generate, review, and manage claims funding aging reports, following up on outstanding balances as needed
• Perform collection activities on aged claims payment registers, including appropriate notification to clients and Account Executives and coordinating resolution efforts
• Investigate and resolve discrepancies, payment variances, and processing exceptions in a timely manner
• Support claims funding reconciliation processes and assisting with financial reporting requirements
• Collaborate cross-functionally with teams including claims, account executives, billing, and treasury
• Manage multiple priorities effectively in a fast-paced, deadline‑driven environment while maintaining high accuracy standards
• Communicate clearly and professionally, both verbally and in writing, with internal teams and external partners
• Identify and recommend process improvements to enhance operational efficiency, accuracy, and internal controls
• Participate in ad hoc requests, special projects, and other duties as assigned

• Minimum of 35 years of experience in billing, collections, or a related financial operations role; claims funding experience strongly preferred
• Bachelor's degree in Business Administration, Accounting, or a related discipline preferred (equivalent work experience may be considered)
• Experience with bank and system reconciliations, including the ability to identify, investigate, and resolve discrepancies efficiently
• Demonstrated experience in collections processes, including managing outstanding balances, resolving payment issues, and working with customers to secure timely payments
• Working knowledge of claims management platforms and claims funding workflows preferred
• Proven customer service experience, with the ability to effectively communicate with clients, resolve inquiries, and maintain positive relationships
• Proficiency in Microsoft Office Suite, with intermediate-level Excel skills

• Supervisory Responsibilities:
  
  None.
• Work Environment:
  The noise level in the work environment is usually low to moderate.
• Physical Demands:
  The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions. While performing the duties of this position, the employee is regularly required to talk or hear. The employee frequently is required to use hands or fingers, handle or feel objects, tools, or controls.
  
  The employee is occasionally required to stand; walk; sit; and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this position include close vision, distance vision, and the ability to adjust focus.
• Travel Requirements:
  None.