Claims and Data Specialist

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Written by AI from the job title and company, not by Compunnel Inc., so some details may not match this job. The employer's own page has the real description.

Overview

The Claims and Data Specialist at Compunnel Inc. is responsible for managing and processing claims data with high accuracy and efficiency. This role involves reviewing claim submissions, ensuring compliance with applicable regulations, and utilizing data analytics tools to generate insights that will improve claims operations. The specialist will also assist in the resolution of claims discrepancies and collaborate with various departments to streamline processes and enhance service delivery to clients.

Job Responsibilities

• Review and validate claim submissions to ensure completeness and accuracy.
• Analyze claims data to identify trends and areas for improvement.
• Coordinate with internal teams to rectify claim discrepancies and enhance operational workflows.
• Maintain up-to-date records of claims processing and data analytics.
• Generate detailed reports to help inform management decisions.
• Ensure compliance with industry regulations and company policies in all claims processes.
• Provide training and support to junior staff as needed.

Qualifications

• Bachelor’s degree in Business Administration, Finance, or a related field.
• Minimum of 2 years of experience in claims processing or data management.
• Proficiency in data analysis and reporting tools (e.g., Excel, SQL).
• Strong understanding of claims regulations and compliance requirements.
• Excellent analytical, organizational, and problem-solving abilities.
• Effective communication and interpersonal skills.

Technologies & Tools

The Claims and Data Specialist will utilize various technologies and tools to enhance workflow and data management. Key software includes advanced Excel features for data analysis, SQL for database management, and claims management systems tailored to the insurance industry. Familiarity with Business Intelligence (BI) tools for reporting and analytics, such as Tableau or Power BI, is highly beneficial to facilitate informed decision-making.

Ideal Candidates

Ideal candidates for the Claims and Data Specialist position exhibit a meticulous attention to detail and possess a proactive problem-solving attitude. They should demonstrate strong analytical thinking capabilities, allowing them to utilize data effectively in decision-making processes. A collaborative spirit is essential, as this role requires consistent interaction with various departments. Additionally, candidates should show a commitment to continual learning and improvement, enabling them to adapt to the evolving needs of the claims operation landscape.