TEKsystems
TEKsystems
TEKsystems is a global technology consulting and workforce solutions company serving enterprise organizations. Its work spans cloud, data and AI, automation, application development, Agile and DevOps transformation, technology operations, and digital experience. The company also provides talent acquisition, recruitment, and managed services, supporting technology teams and large-scale workforce programs across sectors including financial services, healthcare, the public sector, telecommunications, retail, manufacturing, and energy. Its broad service model creates opportunities across consulting, engineering, technology operations, and recruitment-focused roles.

Medical Claims Analyst (Hybrid, Charlotte)

TEKsystems is seeking a Medical Claims Analyst to manage IBNR claims, refunds, appeals, provider inquiries, and Excel reporting. This contract role is hybrid in Charlotte, North Carolina, with a high-volume caseload.

Description

  • Contact providers, hospitals, and physician offices to obtain claim payments
  • Review system bill histories to verify claim receipt and accuracy
  • Process refund requests by analyzing overpayments and facilitating reimbursement
  • Investigate discrepancies and resolve appeals
  • Build and maintain Excel reports and pivot tables
  • Record findings from claims research
  • Ensure bills are received within 10 business days
  • Carry out follow-up activities from initiation through completion
  • Oversee approximately 600 open cases
  • Answer daily email inquiries

Requirements

  • At least two years of workers' compensation claims processing experience
  • Experience handling IBNR claims
  • Strong analytical abilities
  • Background in medical claims
  • Ability to work accurately across complex systems
  • Proficiency with Excel reporting, pivot tables, and research documentation
  • Availability Monday through Friday, 8:00 a.m. to 5:00 p.m. EST

Benefits

  • Medical, dental, and vision coverage
  • Critical illness, accident, and hospital coverage
  • 401(k) plan with pre-tax and Roth post-tax contribution options
  • Voluntary life and AD&D insurance for employees and dependents
  • Short- and long-term disability coverage
  • Health Savings Account (HSA)
  • Transportation benefits
  • Employee Assistance Program
  • Paid time off, vacation, or sick leave
  • Company-provided equipment

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