It's fun to work at a company where people truly believe in what they are doing!

Job Description:

The Senior Claims Analyst follows written procedures to review and determine eligibility for a full range of legal administration claims. The Sr CA must follow documented team processes to ensure compliance at all times and be able to meet departmental standards and/or service level requirements. This level may use critical reasoning skills, knowledge and established protocol to make determinations beyond the procedures documented.

Job Responsibilities:

• Understand and keep current on all department and company policy and procedures




• Use proprietary software tools to access and review claim documents, enter claim decisions, and create escalations when needed




• Communicates timely and effectively to management any obstacles or escalations needing attention




• Performs data entry and data verification as needed to perform work




• Assesses data integration and manual processing guidelines to understand the requirements that drive the quality of claims administration




• Consults with partner groups to define functional requirements and refine technical requirements for complex queries




• Communicates with peers regarding work needed to achieve quality standards




• Analyzes and advises on business requirements




• Reviews business rules and data mapping documents




• Works with team members to balance workloads and monitor team priorities




• Field questions from Analysts and determine best course of action




• Maintaining team morale through coaching and development

Job Requirements:

• GED or High School Diploma




• 3+ years in claims analysis work




• Proficiency with Microsoft Office Suite




• Communication: asks questions; confirms understanding with the audience; learns and adopts best practices for written word exchanges with claimants




• Problem Solving: seeks resolution despite roadblocks; identifies alternative routes to the goal




• Critical Thinking: switches perspectives when considering solutions, to identify gaps and optimize results




• Navigates Ambiguity: works through the unknown strategically




• Organization: tracks a variety of assignments by priority, and quickly switches between tasks




• Troubleshooting: leverages systems and tools knowledge to locate and repair root causes for error




• Data Interpretation: accurately assesses claim data to drive the highest level of claimant service




• Proprietary Software: understands the underlying structure of databases and other common tools for business administration, and learns new tools rapidly




• Vision: continuously conceives of and aspires toward long-term change, while effectively executing short-term goals

If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!

It is Epiq’s policy to comply with all applicable equal employment opportunity laws by making all employment decisions without unlawful regard or consideration of any individual’s race, religion, ethnicity, color, sex, sexual orientation, gender identity or expressions, transgender status, sexual and other reproductive health decisions, marital status, age, national origin, genetic information, ancestry, citizenship, physical or mental disability, veteran or family status or any other basis protected by applicable national, federal, state, provincial or local law. Epiq’s policy prohibits unlawful discrimination based on any of these impermissible bases, as well as any bases or grounds protected by applicable law in each jurisdiction. In addition Epiq will take affirmative action for minorities, women, covered veterans and individuals with disabilities. If you need assistance or an accommodation during the application process because of a disability, it is available upon request. Epiq is pleased to provide such assistance and no applicant will be penalized as a result of such a request.  Pursuant to relevant law, where applicable, Epiq will consider for employment qualified applicants with arrest and conviction records.