Claims Analyst III

At TREND Health Partners, a tech-enabled payment integrity company, our mission is to facilitate collaboration between payers and providers for mutual benefit and waste reduction, ultimately improving access to healthcare. We achieve this by aligning the common goals of payers and providers and fostering collaboration through a shared technology platform and seamless workflows. Joining TREND Health Partners means becoming a part of a dynamic growing organization that promotes a collaborative and innovative work environment. Our comprehensive compensation package includes competitive salaries, highly valued health insurance, a 401(k) plan with employer match, paid parental leave, and more. The Claims Analyst III’s primary responsibility is the identification, analysis and recovery of claim overpayments on behalf of our clients, who are commercial health insurance companies and state Healthcare programs. Responsible for researching and analyzing claims, systems, and documents for assigned clients in order to develop new concepts or apply existing concepts that would identify claim overpayments. This role will ensure that all activities related to successfully and correctly analyzing claims are completed in an accurate and timely manner. ROLE AND RESPONSIBILITIES Assist client in identifying, validating, and recovering claim overpayments. Validate claims to ensure the accuracy of algorithms and that no refund has previously been posted to the client’s system(s). Review and resol