Health Plan Claims Analyst

As the Health Plan Claims Adjudicator for a Health Maintenance Organization (HMO), and other Health Plans based in Texas, you will be responsible for reviewing, assessing, and processing health plan claims to ensure accuracy, compliance with regulations, and adherence to company policies. The Health Plan Claims Adjudicator processes both professional and institutional health plan claims utilizing the Health Plan's claim systems and policies and procedures to confirm eligibility and accurate processing.