Claims Quality Analyst

$56,805 - $74,547/Yr

Oscar Insurance Company - New York, NY

Full-time - Entry Level

Remote - New York, NY

Insurance Carriers and Related Activities

About the position

The Claims Quality Analyst at Oscar is responsible for supporting process improvement and issue resolution within the claims environment. This role involves conducting root-cause analysis and facilitating end-to-end process improvement initiatives, ensuring compliance with applicable laws and regulations. The analyst will work closely with leadership to prioritize and deliver solutions based on claims data analysis.

Responsibilities

• Analyze, investigate and approve claims data
• Support leadership to scope, size, prioritize items and deliver solutions
• Utilize data analysis skills and tools to develop accurate, quantitative analyses of claims issues
• Mediate errors with key stakeholders
• Ensure compliance with all applicable laws and regulations
• Perform other duties as assigned

Requirements

• 2+ years of experience in claims processing or auditing within healthcare operations
• 2+ years of experience working with large data sets using Excel or a database language
• 1+ years of experience in project work

Nice-to-haves

• Some coding experience or database language exposure
• 2+ years of related work experience in analytics or operations

Benefits

• Medical, dental, and vision benefits
• 11 paid holidays
• Paid sick time
• Paid parental leave
• 401(k) plan participation
• Life and disability insurance
• Paid wellness time and reimbursements