POSITION PURPOSE
The Senior Claims Analyst is responsible for the overall quality, monitoring, analysis and reporting of claims data including organization and effective presentation of information. Collects, verifies, analyzes and summarizes data; identifies trends, monitors loss experience and communicates results to team members, Trinity Health Home Office and Ministry Organization management and executive leadership. Serves as a key resource to provide leadership with the data, trends, analyses, and information needed to help minimize loss experience and improve associate and/or patient safety. Responsible for compliance reporting to insurance carriers and other third parties as required. Works closely with the Risk Management Information System (RMIS) System Administrator to provide secondary support to end users for problem resolution, training, system application and special functions/reporting.
MINIMUM QUALIFICATIONS
Bachelor's degree and minimum three (3) to five (5) years experience or an equivalent combination of education and experience. Strong mathematical skills required. Statistical analysis training a plus. Comprehensive working knowledge of computers, data manipulation, data analysis and trending. Exceptional attention to detail required. Advanced working knowledge of Microsoft applications (Excel, PowerPoint, Word); advanced Excel graphing skill set required. Working knowledge of Microsoft Access a plus. Technical aptitude, commitment and desire to maintain an advanced knowledge of computer application skills as well as learn new software applications and reporting tools; experience with CS STARS claims reporting software, Cerner Power Chart functionality, and Business Objects preferred. Demonstrated advanced analytical skills required. Prior experience in claims analysis, reporting and presentation preferred. Working knowledge of medical terminology a plus. Excellent interpersonal, verbal and written communication, and presentation skills. Demonstrated ability to transform data into information through effective compilation, analysis, organization, and presentation. Must possess initiative and good judgment and the ability to work independently with minimal supervision. Comfortable operating in a collaborative, shared leadership environment.
