Medical Insurance Claims Analyst – Detroit, Michigan

Job Description

About the Company

SkillGigs is a global IT and healthcare consulting firm that connects skilled professionals with leading organizations worldwide. This opportunity is with one of our U.S.-based healthcare partners, focused on accurate claims processing, reimbursement optimization, and compliance with insurance regulations.

Job Title:

Medical Insurance Claims Analyst

Location:

Detroit

Job Overview

We are seeking a detail-oriented Medical Insurance Claims Analyst to review, process, and analyze healthcare insurance claims. In this role, you will ensure accuracy in claims submissions, resolve discrepancies, and support reimbursement processes. This position is ideal for individuals interested in healthcare administration, insurance operations, and revenue cycle management.

Key Responsibilities
Review and analyze medical insurance claims for accuracy and completeness
Process claims in accordance with payer guidelines and policies
Identify discrepancies, denials, or coding issues and recommend corrections
Collaborate with billing, coding, and healthcare teams
Ensure compliance with healthcare regulations and insurance requirements
Track claim status and follow up on pending or denied claims
Prepare reports on claims performance and reimbursement trends
Maintain accurate documentation of claims processing activities
Support audits and quality assurance initiatives
Assist in improving claims processing workflows
Required Qualifications
Bachelor’s degree in Healthcare Administration, Business, or related field
2–4 years of experience in medical billing, claims processing, or insurance analysis
Strong knowledge of insurance claims processes and reimbursement systems
Familiarity with ICD-10, CPT, and HCPCS coding systems
Understanding of payer guidelines and compliance standards
Strong analytical and problem-solving skills
Good communication and organizational abilities
Preferred Qualifications
Experience with healthcare revenue cycle management
Familiarity with billing software and claims management systems
Certification such as Certified Professional Biller (CPB) or CPC
Knowledge of denial management and appeals processes
Strong attention to detail and data analysis skills
Why Join Us?
Opportunity to work with a leading U.S.-based healthcare organization
Hands-on experience in insurance claims and revenue cycle management
Supportive and collaborative work environment
Competitive salary and benefits package
Career growth opportunities in healthcare administration
How to Apply

We recommend submitting an ATS-friendly resume highlighting your experience in claims processing, billing, and healthcare operations. Including certifications and measurable achievements will strengthen your application.