Claims Analyst III

Modivcare

. Implement claims processes to maximize effectiveness and accuracy .

Posted 10/12/2026full-timeRemote • United StatesMid-LevelSenior💰 $60,800 - $80,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in claims processing, with a strong focus on accuracy, attention to detail, and problem-solving abilities. Proficient in data entry and analysis, with effective communication skills to support customer interactions and team collaboration.

Highest-signal resume keywords

Claims ProcessingData Entry SkillsAnalytical MindsetMicrosoft Applications ProficiencyLeadership and Mentoring

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ProcessingData Entry SkillsAccount AnalysisProblem-SolvingTyping Speed of 35 Words Per Minute10-Key Usage

Soft Skills

Attention to DetailVerbal CommunicationWritten CommunicationTeam CollaborationCustomer-Focused Demeanor

Tools & Technologies

Microsoft WordMicrosoft ExcelMicrosoft Outlook

Industry Keywords

Claims InformationInvoice Dispute ResolutionPayment ProcessingTransaction VerificationClaims Systems Monitoring

About the role

Key responsibilities & impact

Implement claims processes to maximize effectiveness and accuracy
Audit the accuracy of claims information entered in the system
Monitor the operation of claims systems
Develop solutions to claims issues and work with systems design to implement new features
Review claims for irregularities, accuracy, and completeness
Request additional information when necessary for claim processing
Coordinate and process documentation, invoice dispute resolution, and payment for accounts
Perform account analysis and research payment and account discrepancies
Identify and verify transactions and expedite resolution of claims issues
Handle complex issues and refer only the most complex issues to higher-level staff
Provide leadership, coaching, and/or mentoring to more junior team members
Participate in other projects or duties as assigned

Requirements

What you’ll need

Bachelor's Degree required, or equivalent combination of education and/or experience
Five (5) plus years of experience
Strong understanding of claims processing and ability to make informed decisions on claim eligibility
Excellent attention to detail and proficient data entry skills for accurate claim processing
Intermediate proficiency of Microsoft applications (Word, Excel, and Outlook)
Analytical mindset with the ability to interpret claim data and follow established guidelines
Excellent verbal and written communication skills to interact with superior customer-focused demeanor
Problem-solving abilities to address claim issues and resolve discrepancies
Ability to work independently and as a member of a team
Ability to accurately type 35 words per minute and use of 10-key

Benefits

Comp & perks

Medical, Dental, and Vision insurance
Employer Paid Basic Life Insurance and AD&D
Voluntary Life Insurance (Employee/Spouse/Child)
Health Care and Dependent Care Flexible Spending Accounts
Pre-Tax and Post-Tax Commuter and Parking Benefits
401(k) Retirement Savings Plan with Company Match
Paid Time Off
Paid Parental Leave
Short-Term and Long-Term Disability
Tuition Reimbursement
Employee Discounts (retail, hotel, food, restaurants, car rental and much more!)