**What You'll Do**

As a **Claim Analyst 2,** you’ll review, analyze, and make appropriate and accurate decisions on claims in accordance to the policy and state/federal law and regulations.

+ Analyze and adjudicate claims by gathering and reviewing all required documentation within the established approval and denial authority structure. Evaluate claim information to make timely and detailed judgments, applying knowledge of claim procedures, product development, contract provisions, and applicable state laws.
+ Maintain complete and well-documented claim files that provide a clear and thorough audit trail for compliance and legal purposes. Identify complex or sensitive claims and refer them, with appropriate recommendations, to relevant resources such as nurses, physicians, consultants, senior claims personnel, or the Law Department as needed.
+ Communicate with customers in a professional, timely, and helpful manner, including claimants, employers, providers,...