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- Tasks: Review and process health and dental insurance claims with precision.
- Company: InfoResumeEdge connects job seekers with top opportunities globally, completely free.
- Benefits: Enjoy remote work options and gain global visibility for instant hiring.
- Why this job: Join a dynamic team where your analytical skills make a real impact in healthcare.
- Qualifications: Bachelor's degree preferred; 1-3 years experience in claims processing required.
- Other info: Stay updated with industry regulations and enhance your career in a supportive environment.
The predicted salary is between 36000 - 60000 £ per year.
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
Health and Dental Claims Analyst employer: Info Resume Edge - GCC
Contact Detail:
Info Resume Edge - GCC Recruiting Team
StudySmarter Expert Advice 🤫
We think this is how you could land Health and Dental Claims Analyst
✨Tip Number 1
Familiarise yourself with the latest healthcare regulations and coding systems, such as ICD-10 and CPT. This knowledge will not only help you in interviews but also demonstrate your commitment to staying updated in the field.
✨Tip Number 2
Network with professionals in the health insurance industry through platforms like LinkedIn. Engaging with others can provide insights into the role and may even lead to referrals, increasing your chances of landing the job.
✨Tip Number 3
Prepare for potential interview questions by practising how you would handle discrepancies in claims processing. Being able to articulate your problem-solving skills will set you apart from other candidates.
✨Tip Number 4
Showcase your analytical skills by discussing relevant experiences where you've successfully resolved claims issues or improved processes. Real-life examples can make a strong impression during interviews.
We think you need these skills to ace Health and Dental Claims Analyst
Some tips for your application 🫡
Tailor Your CV: Make sure your CV highlights relevant experience in health and dental claims processing. Emphasise your analytical skills, attention to detail, and familiarity with ICD-10, CPT, and ADA codes.
Craft a Strong Cover Letter: Write a cover letter that specifically addresses the key responsibilities mentioned in the job description. Explain how your background aligns with the requirements and express your enthusiasm for the role.
Showcase Relevant Skills: In your application, clearly demonstrate your knowledge of healthcare regulations like HIPAA and your proficiency with claims adjudication systems. Use specific examples from your past work to illustrate these skills.
Proofread Your Application: Before submitting, carefully proofread your CV and cover letter for any spelling or grammatical errors. A polished application reflects your attention to detail, which is crucial for this role.
How to prepare for a job interview at Info Resume Edge - GCC
✨Know Your Codes
Familiarise yourself with ICD-10, CPT, and ADA codes before the interview. Being able to discuss these codes confidently will demonstrate your expertise and understanding of the claims process.
✨Highlight Your Analytical Skills
Prepare examples that showcase your analytical skills and attention to detail. Discuss specific instances where you successfully resolved discrepancies in claims or improved processes.
✨Understand Regulatory Requirements
Brush up on healthcare regulations such as HIPAA and how they impact claims processing. Showing that you are knowledgeable about compliance will set you apart from other candidates.
✨Practice Communication Scenarios
Since the role involves communicating with various stakeholders, practice articulating how you would handle different scenarios. This could include explaining a claim denial to a policyholder or collaborating with healthcare providers.
