Health and Dental Claims Analyst

6 days ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. The Health and Dental Claims Analyst is responsible for reviewing, analyzing, and processing health and dental insurance claims. The role ensures that claims are adjudicated accurately and in accordance with policy provisions, guidelines, and regulatory requirements. The ideal candidate will have strong analytical skills, attention to detail, and knowledge of health and dental benefit plans InfoResumeEdge is the first platform that is completely free for both recruiters and job seekers. By creating a profile, you gain global visibility, which significantly boosts your chances of instant hiringwhether for remote or onsite roles. We encourage professionals to build their profiles today and connect with top opportunities worldwide. Key Responsibilities: Review and analyze incoming health and dental claims for accuracy and eligibility. Ensure claims comply with policy coverage, terms, and regulatory standards. Investigate and resolve discrepancies or inconsistencies in submitted claims. Apply appropriate fee schedules, adjudication rules, and coding practices (ICD, CPT, ADA codes). Communicate with healthcare providers, policyholders, and internal departments for additional information as needed. Process approvals or denials in the claims management system. Maintain proper documentation and audit trail of claims decisions. Monitor and report trends or issues related to claims processing. Stay updated with changes in insurance policies, coding, and compliance regulations. Support audits, compliance checks, and quality assurance reviews. Qualifications: Bachelors degree in Healthcare Administration, Business, or a related field (preferred). 13 years of experience in claims processing, health insurance, or dental benefits. Knowledge of ICD-10, CPT, ADA codes, and healthcare reimbursement systems. Familiarity with healthcare regulations such as HIPAA. Proficient with claims adjudication systems and Microsoft Office tools. Strong attention to detail, analytical and organizational skills. Excellent written and verbal communication skills. Seniority level Seniority level Mid-Senior level Employment type Employment type Full-time Job function Job function Finance and Sales Industries Human Resources Services Referrals increase your chances of interviewing at Info Resume Edge – GCC by 2x Get notified about new Claims Analyst jobs in London, England, United Kingdom . London, England, United Kingdom 1 week ago London, England, United Kingdom 2 weeks ago London, England, United Kingdom 6 days ago London, England, United Kingdom 1 month ago London, England, United Kingdom 4 days ago London, England, United Kingdom 2 weeks ago London, England, United Kingdom 1 week ago London, England, United Kingdom 1 week ago London, England, United Kingdom 1 week ago London, England, United Kingdom 1 week ago London, England, United Kingdom 2 weeks ago Claims Adjuster – Professional Indemnity & Liability London, England, United Kingdom 1 week ago City Of London, England, United Kingdom £55,000.00-£65,000.00 2 weeks ago London, England, United Kingdom 2 months ago London, England, United Kingdom 1 week ago London, England, United Kingdom 2 hours ago Claims Adjuster – Professional Liability London, England, United Kingdom 2 weeks ago London, England, United Kingdom 2 weeks ago London, England, United Kingdom 4 days ago London, England, United Kingdom 5 hours ago London, England, United Kingdom 2 weeks ago Claims Specialist – Property + Construction City Of London, England, United Kingdom 1 month ago Claims Delegated Authorities Assistant (m/f/d) London, England, United Kingdom 2 days ago City Of London, England, United Kingdom 1 day ago London, England, United Kingdom 6 days ago City Of London, England, United Kingdom 3 weeks ago London, England, United Kingdom 2 months ago London, England, United Kingdom 6 days ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr