Claims Business Analyst - (St Louis, MO)

Description: Position Purpose: Serve as the claims payment and claims configuration expert for plan and various departments to effectively identify and resolve claims issues. Act as the subject matter expert for the claims payment structure. Audit check run and send claims to the claims department for corrections. Collaborate with the claims department to price pended claims correctly. Identify authorization issues and trends and research for potential configuration related work process changes. Collaborate with various business units to resolve claims issues to ensure prompt and accurate claims adjudication. Document, track and resolve all plan providers' claims projects. Research the claims on various reports to determine if appropriate to move forward with recovery. Lead meetings with various departments to assign claim project priorities and monitor days in step processes to ensure the projects stay on track.