Claim Analyst - (Braintree, MA)

Summary: The Phia Group provides, amongst other things, claim recovery services for health benefit plans. When a health benefit plan pays medical bills, and we later discover someone else should have paid those medical bills, The Phia Group - on behalf of the health plan - will seek to recover the funds. The Claim Analyst will work in the Claim Analysis Department identifying recovery opportunities for The Phia Group through data scrubbing. Your primary tasks may include: identifying potential 3rd party liability cases through the review of claims data, and attaining accident details from Plan Subscribers/Participants through accident questionnaires and data analysis. You may also perform additional tasks (on an as-needed basis) to assist with the day-to-day activities of the Recovery Department. Essential Duties and Assignments include the following. Other duties may be assigned.