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About Us

Finance Claims & Escheatment Analyst

JOB SUMMARY

As a Finance Operations Analyst, you will be responsible for the oversight of the end-to-end provider claims payment processing for our Dental Business. This position supports the full cycle processing of the claims payments ensuring all financial transactions are completed timely and within our established controls and audit policies.  The Analyst works closely with internal technical support and external vendors to ensure visibility is provided related to data integrity and technical issues that may impact timely payment processing.  You will also be responsible for all aspects of escheatment by working independently to manage the yearly escheatment process.  This role requires excellent communication, organizational, and proven time-management skills, and ability to work within a team environment.

 

 

PRIMARY JOB RESPONSIBILITIES
 

Escheatment:

  • Coordinate all aspects of escheatment by working independently to manage the yearly escheatment process
  • Collect and analyze potential unclaimed property data
  • Produce due diligence letters in accordance with various state regulations
  • Account for unclaimed property as it is dispositioned
  • Process unclaimed property payments to property owners or state agency as identified in the disposition process
  • Respond to state and/or owner inquiry regarding the status of unclaimed property 


Provider Release & Payment:
 
  • Manage the daily claims process beginning with the release process and communications internally and externally to our print vendors.
  • Complete multiple extract uploads to the Oracle financial system, successfully creating all financial transactions and ensuring all uploads are validated and reconciled to the source files.
  • Monitor and track all communications, delays or issues between internal IT teams, vendors, and banks throughout the day to ensure all issues are timely resolved and there is no delay or work stoppage that will impact the ability to meet our deadlines.
  • Process all EFT and Positive pay files and validate successful receipt of the files with each banking institution; address any issues or missing files.
  • Manage all failed EFT’s and work with internal Credentialing team to resolve accordingly.
  • Validate vendor print processing to data source documents to ensure no variances.
  • Supports and reconciles daily Customer refund or other internal interfaces from other systems.
  • Identifies and tracks all interface exceptions related to Windward claims loads, Customer refunds and daily bank reconciliation files.
  • Logs and monitors all daily production and/or enhancement tickets submitted for data fixes manage to ensure long term solutions are put in place to eliminate data issues and interface errors.
  • Performs testing for new project or client implementations along with supporting system upgrades ensuring full end to end testing is performed successfully and timely.

 

 

Other Duties

  • Supports all audit requests
  • Backup to Cash Management and AP
  • Other duties as needed

 

Experience

  • Preferably degree in Finance or Accounting or relevant prior experience
  • Proficient user of Microsoft Excel
  • A team player with a sense of accountability and responsibility
  • Ability to organize, prioritize, delegate and escalate when required
  • Well-developed analytical, problem solving and troubleshooting skills
  • Strong attention to detail
  


Submit your resume here.

 

The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements and criteria necessary to successfully perform this position.

** In accordance with CareQuest Institute for Oral Health’s Compliance Plan, all employees must conduct CareQuest Institute for Oral Health business and activities in accordance with applicable laws, regulations, professional standards and ethical standards and report potential compliance or ethical issues to CareQuest Institute for Oral Health’s designated Compliance Officer. **

CareQuest Institute for Oral Health’s Affirmative Action Program affirms our commitment to make reasonable accommodation for known physical or mental limitation of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business and activities. Please see Human Resources for additional information regarding this program.