Claims Analyst – Health, Life, & Disability
Claims Analyst – Health, Life, & Disability
$60K-$80K | Full time | Hybrid / In-Office (101/Cave Creek) or Remote USA**
We're looking for a detail-oriented Claims Analyst who thrives on hands-on data work. You'll analyze health, life, and disability insurance claims to uncover trends, identify cost drivers, and support strategic decisions. This is an individual contributor role — expect to spend significant time in Excel and SQL, manage multiple projects independently, and translate complex data into clear, actionable insights.
Key Responsibilities
• Audit and analyze claims to ensure accurate documentation, appropriate coverage determination, and timely exposure identification.
• Manage all email and phone correspondence with clients and provider agents regarding assigned cases.
• Work with payors to resolve discrepancies and document outcomes.
• Extract and analyze claims data, identifying trends, patterns, and anomalies.
• Conduct root cause analysis on claims cost drivers and utilization patterns.
• Build and maintain Excel models for claims forecasting and trend analysis using pivot tables and advanced formulas.
• Perform financial reconciliation and validate claims processing accuracy.
• Prepare and maintain reporting on open/closed claims, reconciliation status, outstanding risks, and KPIs, flagging significant deviations.
• Identify recurring issues, cost-saving opportunities, and recommend process improvements.
Core Qualifications
• 2-5 years of hands-on experience in claims analysis, healthcare analytics, or financial analysis (insurance sector preferred)
• Experience with health insurance terminology (CPT codes, ICD codes, EOBs, etc.)
• Knowledge of claims adjudication processes and workflows
• Understanding of ERISA regulations and compliance requirements
• Advanced Excel skills including pivot tables, VLOOKUP/XLOOKUP, complex formulas, and data modeling
• Proficiency in SQL for querying databases and manipulating large datasets
• *Must be legally authorized to work in the United States without the need for employer sponsorship.
Who are we?
eBacon is a financial technology software company located in Phoenix, Arizona. We create a lot of innovative financial solutions for the business world, with a focus on certified payroll and fringe benefit management for the construction industry. Our development team is in-house, so we’re always creating cool, new things to get the job done. We have won awards for customer service and for being one of the top companies to work for in Arizona for several years and counting.
We also have excellent benefits, including competitive pay, plenty of PTO, health care, 401K matching, and fun employee outings. The work we do is serious, and we work hard and take great pride in the help we give our clients, but we also don’t take ourselves too seriously. I mean, we do have a bacon strip mascot
ShfIU5yN3n
Apply Now
Apply Now
$60K-$80K | Full time | Hybrid / In-Office (101/Cave Creek) or Remote USA**
We're looking for a detail-oriented Claims Analyst who thrives on hands-on data work. You'll analyze health, life, and disability insurance claims to uncover trends, identify cost drivers, and support strategic decisions. This is an individual contributor role — expect to spend significant time in Excel and SQL, manage multiple projects independently, and translate complex data into clear, actionable insights.
Key Responsibilities
• Audit and analyze claims to ensure accurate documentation, appropriate coverage determination, and timely exposure identification.
• Manage all email and phone correspondence with clients and provider agents regarding assigned cases.
• Work with payors to resolve discrepancies and document outcomes.
• Extract and analyze claims data, identifying trends, patterns, and anomalies.
• Conduct root cause analysis on claims cost drivers and utilization patterns.
• Build and maintain Excel models for claims forecasting and trend analysis using pivot tables and advanced formulas.
• Perform financial reconciliation and validate claims processing accuracy.
• Prepare and maintain reporting on open/closed claims, reconciliation status, outstanding risks, and KPIs, flagging significant deviations.
• Identify recurring issues, cost-saving opportunities, and recommend process improvements.
Core Qualifications
• 2-5 years of hands-on experience in claims analysis, healthcare analytics, or financial analysis (insurance sector preferred)
• Experience with health insurance terminology (CPT codes, ICD codes, EOBs, etc.)
• Knowledge of claims adjudication processes and workflows
• Understanding of ERISA regulations and compliance requirements
• Advanced Excel skills including pivot tables, VLOOKUP/XLOOKUP, complex formulas, and data modeling
• Proficiency in SQL for querying databases and manipulating large datasets
• *Must be legally authorized to work in the United States without the need for employer sponsorship.
Who are we?
eBacon is a financial technology software company located in Phoenix, Arizona. We create a lot of innovative financial solutions for the business world, with a focus on certified payroll and fringe benefit management for the construction industry. Our development team is in-house, so we’re always creating cool, new things to get the job done. We have won awards for customer service and for being one of the top companies to work for in Arizona for several years and counting.
We also have excellent benefits, including competitive pay, plenty of PTO, health care, 401K matching, and fun employee outings. The work we do is serious, and we work hard and take great pride in the help we give our clients, but we also don’t take ourselves too seriously. I mean, we do have a bacon strip mascot
ShfIU5yN3n
Apply Now
Apply Now